HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
SCANNED
BY
STI HriE (;OJNTY
ST:'LUM COUNTY
BUILMG.--& ZONING
2300 VIRGI1 U AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILL ::LA -DU -AF: SIT
�IDA��
I, the undersigned, am the owner of the following described property: �3kwl3 �V� Cc ` ►�
#13Q61_11-onni-n.nn /n.• a 1-7
(Tax ID)Ugaldescrip6on/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 1VOT 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.
Matth �� r �rl A wynn� -\Oa``'S
\ 7
Property'Owner Name Property Owner Signature Date
STATE OF FLORIDA; COUNTY OF S t
ACKNOWLEDGED BEFORE ME THIS __ % DAY 20 ? ?
BY Ma tth W T 1 Win n p O IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
• NUMBER (SEAL)
COMMISSION
F11'4
'i{� DOROTHYANN BASKIN
* *'MY COMMISSION # GG 030145
EXPIRES:October2,2020
"',�•'� Bonded Thru Notary Public Underwriters
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