HomeMy WebLinkAboutFilled Land Affidavit RECEIVED MAY 14 2015
ST. LUCIE COUNT('
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAI.VIT
1, the undersigned, am the owner of the following described property:5-4`C�2a• A
Part of 3414-501-1701-000/9 ; Section 26 , Township 36s Range 40E
(Tax ID/Legal descriptiori/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as Owner OF
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land .Development Code, I shall be responsible for assuring adequate drai age so that the
immediate community WILL NOT be adversely affected. I further ack owledge that In
granting this permit for the development of this property, St. Lucie County s neiUier obliged
nor liable to provide for, or maintain in any form, adequate drainage off I y property which
will not adversely affect the immediate community.
Matthew Lyle Wynne \�J
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA.COUNTY OF S t - L u c i e
ACKNOWLEDGED BL-FORE ME THIS-j V DAY OF 14 y 20
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TO ME OR WHO HASPRODUCC-O
AS IDENTCFICATION. //�� 2
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SIGNATURE OF NgrARY TYPE OR PRINT NAME OF NOTARY
(SIAL)
NOTARY PUBLIC TITLE O T idh 06
DOROTHY ANN BASKIN
?�l*0.Y PU«gin: Notary Public-State of Florida
My Comm.Expires Oct 2,2016
`o' Commission #FF 015226
°%%°;,;°P' Bonded Through tlational Notary Assn.