HomeMy WebLinkAboutFilled Land Affidavit RECEI'-:D SEP 2 .? 91 17
ST. LUCI)E:COUNTY
BUILDING &ZONING
r 2300'VIRdINIA AVENUE
FORT PIERCE,FL 34982-5652
•> n 772-462-1553
.�
FILLS- )' TEA " AFF -D A►VIT
®o 'rr\e,
1, the undersigned, am the owner of the following described property: �4
Part of 3414-501-1701-000./9 ; Section 26, Township 36s _& Range 40E
(Tax M/Legal deschption/Address)
.for which 1 have applied to St. Lucie County for a Final Development Permit. I•n acce.Ptiltg
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
Laud 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 mairitain in any form, adequate:drainage off my property which
will not adversely affect the immediate comma unity.
Matthew Lyle Wynne
.
Property Owner Name Property Owner SigAature Date
STATE OF FLoRWA,COUNTY OF S t . L u c i e
t
ACKNOWLEDGED BEFORE ME THIS DAY OF`a� � O L-)
BYMatthew Lyle .Wynne IS PEP SONALLY KNOWN TOM1'ARWITOHASPRODUCED
AS IDENTIFICATION.
i
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC ' TITLE COMMTSSYON NUMBER
SUSANMAGEE
►r .= MY COMMISSION#FF T87647
n a EXPIRES:February 23,2019
oU�y°` 9ended'rhru l<utary Public UndeWters
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