HomeMy WebLinkAboutFilled Land Affidavit � I
1
RECEID OCT 191017
$T. TXCW COUNTY
BUILDING &'ZONINI G
2300 VIRLrIIVI. AVENUE
'FORT PIERCE,FL 34982-5652
772-461-1553
I, the undersigned, am the owner of the following described property:��
Part of 3414-501'-1701=0.00/9; Sec,tioh 26., township 36s &• Range 40S
(Tax M[Legal deschptionJAddress)
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.tuc:ie County
Land Deyelopmn nt Code, I shall be responsible for assuring adegaate drainage so that the
immediate coxnmunity WILL.-NOT be adversely affected. I further acknowledge that in
graixtiog this permit for the development of this property,St.Lucie County is neither obliged
)nor liable to provide for,or•tnairitain in any form, adequate:drainage off ray property which
will not adversely affect the im' 'mediate coinrnui�tity.
Matthew Ly e
Property Owner Name Property Owner Sigriature Date
STATZ OF FCORWA,COuNTy of S t. L u c i e
e
ACKNOWLEDOW BEFORE ME TM (- DAY OF Q G-T-D 3 e—k ,20-L2
Ey Mat thew Lv'1 e .Wynne wy4' S PEttSONAz LY KNo*' ' ' ME OR W1x044AS PROD'UCID
AS IlDENTWICATION.
SJGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SCAL)
NOTARY PUBLIC TITLE COMMISSION NLIW ER
i
t 1 ma' s QOROTHYANN BASKIN
MY COMMISSION'#GG 030145
EXPIRES:October 2,2020
Bonded Thru Notary Public Underwriters
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