HomeMy WebLinkAboutFILLED LAND AFFIDAVITrn,,
MAR 18 2016
PERTY11T'ING
St. Lucie County, FL
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
Part of 3414-501-1701-000/9; Section 26, Township 36s & Range 40E
(Tax ID/Legal description/Address)
.for which I have applied to St. Lucie County for a Final Developme t Perrn.it. In accepting
this Final Development Permit, BP Number I ac.kno ledge that as owner of
the above described property, and in accordance with Section 7.04.0 (D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequ to drainage so that the
i-m:mediate community WILL NOT be adversely affected. I furth r acknowledge that in
granting this permit .for the development of this property, St. Lucie ounty is ne.ilher obliged
norliable to provide for, or maintain in any form, adequate draina off my property which
will not adversely affect the immediate community.
Matthew Lyle Wynne //P / \ p
Property Owner Name;1Plroplerty 0wer Signacire`"=';;; Date
STATE OF FLORIDA, COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS I q t�- DAY OF MA-ittid 20A
ByMatthew Lyle Wynne WT40 IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
a
SIGNATURE OF ATARY
NOTARY PUBLIC T.1TLE
S IDENTIFICATION.
IJ O A O-TI \-1 &M v
TYPE OR PRINT NAME OF NOTARY
(S EA l.)
COMMISSION NUMBER
DOROTHY ANN BASKIN
Notary Public -State of Florida
n •= My Comm. Expires Oct 2, 2016
Commission # FF 015226
Bonded Through National Notary Assn.