HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE:COUNTY
BUILDING & ZONING
2300 VlRCrINIA AVENUE
FORT PIERCE, FL 34982-3652
772-462'-1553
FILLERLA� AFFIIDA"- T.
1, the undersigned, am the owner of the following -described propertyA%1'_�4c CAN"
Part of 3414-501-1701-000/9- Section 26, Township 36s & Range 40E
(Tax M/Legal description/Address)
.for which 1 have applied to St. Lucie County for a Final Development Perlxut. In accepting
this Final Development Permit, BP Number ,1 acknowledge that as owner of
the above described property, anal in accordance, with. Section 7.04.01(D), St. Lucie County
Land Development Code, T shall be responsible for assuring adequate drainage so that the
immediate community WILL. NOT be adversely affected. 1 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 conlmunity.
Matthew Lyle Wynne
Property Owner Name
Property Owner Signature - Date
STATE OF F(LORIDA, COUNTY O.F S t. L u c i e
ACKNOWLEDGED BEFORE ME THIS � DAY OF 20 L 7 �
BY Matthew Lyle Wynne WHO IsPERSO LLYKNOWNTOMEORW140HAS PR000CED
(n� /� �� AS IDENTIFICATION.
QK.tXa�c�,- —!, o R oT-t y A. ,o /9* SA:f .0
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC T)TLE COMMTSSTON NUMBER
DOROTHYANNBASKIN
MY COMMISSION # GG 030145
EXPIRES; October 2. 2020
Bonded Thru NOWY Publk Underwriters
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