HomeMy WebLinkAboutFilled Land Aff I ,
ST. LUCIE COUNTY .
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE;FL 34.982-5652 R E C E W D SEP
_ 772462-1553
FILLED tANM AFFIDAVIT •
I .
I, the undersigned, am the owner of the following described property:\NA\-n,�S����Ot
#13'06-111—o0n1-nnn/n, 6!7 34 39 al that Tart 117;nn
(Tax ED/Legal description/Address) of I,95
for which I have applied to St.Lucie County for a Final Development Permit. In accepting
this Final Development Permit,BP Number ,I acknowledge that as owner of
the above described property,and in accordance with Section 7.04''01(D),St.Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property,St.Lucie County is neither obliged
nor liable to provide,for, or maintain in any form,adequate drainage off my property which
will not adversely affect the immediate community.
Matthew Lyle Wynn N4
Property'Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF S t_ L ll
ACKNOWLEDGED BEFORE ME THIS DAY OF &F!73'rn pM .20 17,
BY Matthew L)z1 a Wynne WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION.
I��Q.f��t.. :/�RJ771`/ �'F"/'�N /✓i�YSKI!
SIGNATURE OF NO ARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
DOROTHYANNBASKIN ,
MY COMMISSION#GG 030145
==INSVO
oN N41 PaPoQB
EXPIRES:October2,2020 S32dldX3
�ddC� Bonded Thru Notary Public UnderwritersSIW6V00 AW `
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