HomeMy WebLinkAboutFILLED LAND AFFIDAVIT'(GAamen
IRS?
1, the 101dersigned, am the
Part of 3414-5nV-17n,.
for which 1 have applied to
this Final Development.Per
the above described propert
Land Development Code, Z
immediate community '4zli'X7
grartti.ng this permit ,for the d
nor liable to provide for, ors
will not adversely affect the
th-ey Lyle _Wv-nne
Property Owner Name
STATE OF FLORVA. COUNTY OF
ACKNOWLEDC.So BEFORE ME TI3IS
BY Matthew _Lyle .Wvnna
TURF OF NOTARY
NOTARY P(:i. UC TITLE
RECEIVED
T. LUCIE'COUiVTy P1ar 0 9 7018
AMM-DXNG & ZONING Permitting Department
2300 V7RGIIN A AVEMb, St. Lucie County
FORT PIERCE, FL 34982.5652
772-462-1553 .
bf tbe following described property: �.S
(Tax Mg-egal desciiption/Address)
Range 40E
t. Lucie County for a Final Development Permit, In accepting
dt, BP Number acknowledge that as owner•of
and in accordance, with.Section 7.04.01(D), St. Lucie County
Gall be responsible for assuring adequate drainage to that the
rl.NO'7f' be adversely affected. 1 further acknowledge that in
velopmen•t of this•pzoperty, SE. Lucie Cauntyis neither obliged
aintain in any foirm, adegtiat+;: drainage off ray pxope.rty which
I.
nmediate coinmuYnity.
Property Own& Signature Date
_ DAY OF
vvHO IS P8[tSONAU'LY KNO*N!T'O•ME OR VINO HAS PRODUCED
aS fiJENTIFiCAnON.
�It pass
1,
TYPE OP. PRINT NAME OF NOTARY
(SEAL)
COMMISSION Numna
Notary Public State of Florida „
Julle Nlnassi
My Commission GG 038942
Expires 10/16/2020