HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES
Building & Code Regulations Divis
2300 V IRGINIA AVENUE
FORT PIERCE, FL 34982-W2
(772)462-1553
SCANNED
BY
St. Lucie County
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
210814100010008 131310 ORANGE, FORT PIERCE, FL 34945
(Pareel I M/Legal description/Address)
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2019
for which I have applied to St. Lucie County for a Development Permit. In
accepting this Final Development Permit, BP Nambe a9taeaa� l acknowledge
that as owner of the above described property, an m accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Matthew Lyle Wynne
Z
perty Owner Name (Please Print)
Property Otmer Sto ova'' .Date
STATE OF FLORIDA, COUNTY OF St. Lucie
ACKNOWLEDGEDBEFOREMETIIIS DAYOF� .20
BY Matthew Lyle Wynne HOISFERSONALLY'KNOWNTOME Q, Olt WHO HAS
PRODUCED AS IDENTIFICAr10N.
J'Y�,/�ir.�Yi''�f./.7 Susan LaFleur
OF NOTARY PUBLIC TYPE OR PRINT NOTARY
__COMMISSION NUMBER
(SEAL)
SUSANLAFLEUR
MYCOMMISSjoH#GGM204
;�•. e= EXPIRES: Fa6Nary23,2023
SLCPDSD Revised 04/112011 ! Owl'eandWTem NntalYPub5PUnasrMrftep