HomeMy WebLinkAboutFILLED LAND AFFIDAVIT.'S' T. L U C rE: COUNTY
BUILDIVO &UMENG
2300 MdMA AVIRN.Ui
FORT PIERCE, FL 34982,5 652
772-46.9-155'3
1, the 41adersigned, am the OWner6f the following described property:
Part of 3414-50-1--1 7nl In - - ' ' . . - . .
(Tax M/LegaJ de sciiption/Address)
SCANNED
BY
St'Lucie County
DEC 20*1?
PIT 13 aq G
St. LUCiG
Range 40E
for * which I have applied to St. Lucie County for a Final Development Pen -nit. In accepting
this Raal Deveiopinent.Permit, BP Number I acknowledge that as.owner'of
the above described property, a-nd in accordance. with Section 7.04.01(D), St. Lucie Codaty
Land Development Code, I -shall be responsible for assuring adequ,ite drainage go that the
immediate community WILL -NOT be adversely affected. I further acknowledge that in
graoting this permit, for
the -development of -this-property, 31 Lucie County is neilther obliged
nor liable to provide for, or.inairfitain in Any form, adequate: drainage off ray property Which
will not adversely Affect the im''Mediate community.
mrhunity.
Matth-ey LYle Wvnne \os _ V
Property -Owner Name
Property Owner Sigrii-ture - Date
STATE OFFLORWA.COUNT,y6JFAt_- Lubie
ACXNOWL'ElDMqEFOvXMTHIS DAY OF 2"C - 20L7 -
13y Hat+thev'L _Vle Wynne wrib Is pEp SONA:L:Ly M0*j4 Tome
OR wz4o'-HAS PIZODUCC-0
AS JbEN7Mj:ATj0N.
-Do xo-' 9Nrj.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PIUELTC._=LE
(SEAL)
-COMMYSSIOUNUMER
DOROTHYANNBASKIIN
'T" My COMMISSION # GG 030145
grz -
EXPIRES: October 2,2020
Bonded Thru Notary Public Underwriters