HomeMy WebLinkAboutFilled Land ApplicationMTY
ST. L TCIE: COUNTY
BUILDING & ZONING
2300 'VIRdlNIA AVENUE
'FORT PIERCE, FL 34982-5652
772-462`-1553
Ff"EWLA D -AFFIDA
I, the undersigned, am the owner of the following described property: \ is � , R
Part of 3414-501-1701-000/9; Section 26,..Townshia 36s & Range 40E
(Tax ID/Legal description/Address)
.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 wh ich
will not adversely affect the iTrimediate community.
Matthew Lyle Wynne ql
�L
Property Owner Name Property Owner Signature Date
STATE OF FUORWA, COUNTY OF S t . / /L u4c i e
ACKNOWLEDGED BEFORE ME THIS ! i DAX OF -o--LW L V 20 / ? '
BYMatthew Lyle .Wynne wl4blSP6RSONALLYKNOW14TOMEORw1401-IASPRODUCLD
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/� AS TDENTMCATION.
Q1-- -1 (J14-SKIIJ E/J 20-77-{ y J`fNn) t6. sC[.J
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMYSSION NUMBER
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
':••'� EXPIRES: October 2,2020
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FodFt�POBanded ThN Notary Public Underwriters