HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�� I T. lLUCI E:CO%TN7l"Y
�Q9P.e� P�9 'lE'7IiDTNC &ONJ[1VG
2300 V7it6M.-A; AVENUE
FORT PM- RCE, FL 34982-5652
772-462-1553
1, the undersigned, am the owner of the
Part _of 3414-501•-1701—•000/9- s
(Tax XD/:ega]
for which X have applied to St. Lucie Cc
this Final Development.Permit, BP Nur,
the above described property, and in acc
Land Development Code, X shall be rest
immediate community 'WILL NOT be
gcatati;ng this permit ,for the development
nor liable to provide for, or -maintain in
will not adversely affect the'Immedlate (
Matth-ew Lyle Wvnne
Property Owner Name
STATE OF FirOMPA. COUNTY
AMNO'WL.EDGEDBEFOREMISTM_ DAY
BY Matthew Lvle .Wvnn-e wxQxsI
AS WN1
N n _ 0
SIGNATURE OF MOTAPY
NOTARY PEMUC TITLE
.Q" a' 1 . 4
described property:`�� N
S1 ��
26, Town-ship36a ' &• Range 40E
Address)
ty for a Final Development Permit. In accepting
�r Z acknowledge that as.owner•of
iance.with•Section 7.04.01(D), St. f ucie Codaty
isible for assuring adequate drainage so that the
aversely affected. Z f0ther acknowledge that in
this;property, St. Lucie County,is neither obliged
form, adequate: drainage off my pxgperty which
arnumty.
Owner Sigxiaiture - Date
.23 r
OR W1140 HAS PRTOD'UCC-0
TYPE OP, PRINT NA! ME OF NOTARY
NUMEIER
o p PN Notary Public State of Flo;ida
Julie Ninassi
My �ornA@�a CommissionE Expires 0038942
/16/2Q20
(SEAL,)