HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. L1C crE- ; couN''K
> UTMDING &' Z�N][1VG
2300 'VY1M6) Ni-A AV UE
FORT PIERCE, FL 34982.5652
772.46%-1553
1, the undersigned, am the owner, of the following described property:
Part of 3414-501�-1701-0.00/9- SeCtion 2ro � Townshin 36s &• Range 40E
(Tax ID/tegai descnptioNAddress)
for which 1 have applied to St. Lucie County for a Final Development Perixut. In accepting
this Final Development.Permit, BP Number
the above described roe ; I the that as.owner'of
property, rty, 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 Communiy M7LL NQ-T be adversely affected. I f0ther acknowledge that in
grating this permit for the development of this•property, Sf. Lucie County'is neither (obliged
)3or liable to provide for, or -maintain in any f6jam, adequ ate: drainage off •cry pxopecty which
will not adversely affect the im' 'MeZliate comriliz t.y.
Matthe•w Lvle tnlynne------------------
Property'Owner Name Property Owner SigAiture Date
STATE OF Ft.ORIVA, COUNTY OF S t . Luc i e
AMNO'Wr.,EDM BEFORE ME TT3fS --� DAY OF '� r z c-m4a4, 20 l i
By Ma. t t h e W L V 1 e .Wyn n e WHQ xS PrzRsoNAi.LY kNo*W iTO'ME OR WV?O HAS PRODUCCED
As WENTMCATION.
AA
SIGNATURE OF N RY TYPE OR PRINT NAME OF NOTARY
. NOTARY MA-13C ; =Ls (SEAL)
DOROTHYANN BASKIN
MY GOMMISSION # GG 030145
EXPIRES: October 2,2020
aE �.• Bonded Thru Notary Public Underwriters