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Filled Land Affidavit
RECEIV' D OCT 191017 ST. ]LUCIF I COUNT'Y BUDDING ON ' 2300 VIR61NTA.AVENUE FORT PIERCE,FL 34982-5652 x - 772-462-1553 o , n� I, the undersigned, am the owner of the followingdescribedproperty:�� Part of 3414-501•-1701=0.00/9; Section 26, * Townahip 36.s &• Range 40E (Tax ID/Legal deschpaon/Address) for which I have applied.to St.Lucie County for a Final Development Permit. In accepting this Rhal Development.Permit,BP Number I acknowledge that as owner'Of the above described property, and in accordance.with.Section 7.04.01(D), St.L'ucie Codaty Laud Development Code, I shall be responsible for assuring adequate drainage to that the immediate community WILL-NOT be adversely affected. I further acknowledge that in graixting this permi-t,for the development of this property,St.Lucie County is neither obliged .nor liable to provide for, or-tnaittain in any fornn, adequate:drainage o.tf ray property which will not adversely affect the immediate coiarhui ity. Matthew Lyle W -nne �Z � y Property Owner Name Property Owner Sigriature Date STATE OF FLORIDA.COUNTY OF S t . L u c i e P ACKNOWLEDGED BEFORE ME TNTS DA-i OF © G-M 6 ex- ,20 L Z By Matthew L V 1 e .Wynne wmo IS PERSONALLY KNOWN To ME OR w140 HAS PIZODUCCI) AS MENTaFICAnON. SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (SSAL) NOTARY PUBLIC TITLE COMMiSStON NUMBER DOROTHYANN BASKIN M7 COMMISSION#GG 030145 EXPIRES:OctobeTZ2020 Bonded Thru Notary Public Underwriters I