HomeMy WebLinkAboutFILLED LANDS AFFIDAVITP4
$T. 2LUCI E, C0U-NTY
BL7IY:Dx1V $z G•M: ' 1�TG
• 2�00 'VxRC�A A:VfiN1UR
' FORT PMRCE, FL 34982-5652
772-462-1553
1, the undersigned, am the owner' of the .following described property:
xt of 3414-501•-17n7_.nn^.im_ _ _
(Tax ID/Legal desccip6i6n/Ac dress)
M1
0V .
�U§18 C®Untd
&• Range 40S
for which 1 have applied, to St -Lucie, County for a Final Development Pexrnit. In accepting
this Final Development.Permit, BP Number ; Z acknowledge that as.owner'o -
the above described property, and in accordance, with. Secti�on 7.04.0l(D), St. Lucie Codnty
Uad Developzrtent Code, l shall be responsible for assuring adequate drainage so Wat the
immediate community yVYL3L;.N07C be adversely affected. 1 further acknowledge that in
granting this permit for the .developrnent of tllis.property, St. Lucie Caunty'is neither obliged
19ox liableto provide for, or iaa n'taizi in any form. adequate: drainage off my pxoperty which
Will not adversely affect the immediate c- omt itity.
Mat th.e•w L IeWynne
Property Owner Name
Property Owner Signature Date
STATE OF FCOPOA, COUNTY OF S t. L u h i e
ACKNO•WLEDC:ED BEFORE ME THIS , DAY OF p%f%r�t�- . 20 L f
Ma t t li e.W L V ], G Wun n-e ' Tib is PERSONALLY KNO`WI'iTO•ME OR WNO'HAS PMODUCC-D
AS rDENTPTCA770N.
TUPUE OF NOTAPY TYPE OR PRMNT NATvlE OF NOTARY
(SliAl.)
COMiv(smiq NUmniz
°i DOROTHYANNBASKIN
MY COMMISSION # GG 030145
. .,T, EXPIRES: October 2, 2020
, ?�' Bonded Thru Notary Public Underwriters