HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGEUA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LA"S AFFIDAVIT
I, the undersigned, am the owner of the following described property: (�')(` R `6h
#1396—tii_nnn1—n.nnin ci. ., _ .. .
(Tax ID/Legaldescription/Address) )northeasterly 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.
Ma hew T y e Kynnca LP
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTy OF
ACKNOWLEDGED BEFORE ME THIS DAY OF �C.I C y
BY- Mat_ thew T'j1e _Wynne WOIS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
f� AS IDENTIFICATION.
-DORo`TN�l 41VN .464Sein1
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
(SEAL)
. COMMISSION
NUMBER
_
My Ur�,d�¢.,IU HN 045443
EXPIRES. Octo'bar 2, 2094
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eo, c-07m Not-y FPS c0�tl_r, n!ers