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HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT$T. LUC IE:'CO.U- taO WIdW-Al A W-V ' FORT PIERCE, FL 34982 772-469-1553 - . . . . . . . . . . . . . . T.- j&, RECEIVE® ji .SUMSEP 2 `018 .ST. Lucie County, Permitting I 1, the Vadersigned, am the owner of the following described -,z 1.1 cribed property: t Of 3414-501'-17n7—r-1nn*,/m- (Tax ID/Legal descdp66rj/AddreSS) Range 40S for Which I have applied to S.t.'Lud6 County for a Final Development Permit. In accepting this Final DeVelopment.pernn t, BP Number — . ' I acknowledge that as owner of the above described property, and in accordance, with. Section 7.04.01(D), St. Lucie Codaty Land Deve lopment elOPment Code, I shall be responsible for assuring adeqaa'te &ainage to that the immedi9te community WILL c be ad've�861Y affected. I fqrtbe*r acknowledge that in grahting dbispermit for tbe'&vel0pMbn-j of tb".' - Lucie County'js neither obliged is property, 3 1. 33or liable to provide' '-for, or-inairitain in any fojan--, adequate: drainage off -my peqpe*cty'Wh ic h will not adversely affect tb'e im''m'em, afe &oinjilki.ility. Matth-e-w L-vle --Wynne 7-'-- q \%V�W Property Owner Name Property owne'rSignd-ture - Date STAT60FFC0RWA. COUNTY 6.F_St. Lub-ie ACKNOWLEDGED BEFORE METWs_ DA-i i9yMatt'hew Lkle Wynn.*e wM&YS ptisONAi LY tcN NTO M6 OR W140 'HAS PR000CC-0 AS IDENTIFICATION. �>'o V--Orw V 4jV1--j .0. t SIONATUREOPNOTARY TYPE OP, PRINT NWE OF NOTARY -L) (SCA -NOTAky, PUMC 'T 1-0 I T-LE —CO ...A' gt 1 000 HYANNaASKIN 1pMMj6$19N # 0 030145 04100or 2,2020 UnderwntM T�rp N,410PJ �PU*