HomeMy WebLinkAboutFilled Land Affidavit RECEIVSD AUG 10 2015
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
I- 772-462-1553
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FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:)�ID
Part of 3414-501-1701-000/9 ; Section 26 , Township 36s & Range 40E
(Tax ID/Legal description/Address)
for which .1 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. Luce County
Land Development Code, I shall be responsible for assuring adequate drainage so that clip-
immediate community WILL NOT be adversely affected. I further acknowledge that In
granting this permit for the development of this property, St. Lucie Coul-Ity is neiUiec obliged
noc liable to provide foc, or maintain In any form, adequate drainage off my property which
will not adversely affect the immediate community.
Matthew Lyle Wynne t J
Property Owner Name Pro�ert OwnerSi nature Date
STATE OF FLOR(DA,COUNTY OF St Lucie
ACKNOwLEDCED BEFORE ME THIS DAY OF G-LdS% 20jj.
BY Mat thew Lyle Wynne WHO IS PERSONALLY KNOWN TO ME OR w)-(O HAS PRODUCCO
AS rDENTCFICATtON.
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SIGNATUREOF OTARY TYPE OR PRINT NAME OF NOTARY
(S CAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
�•�R�PU DOROTHY ANN BASKIN
% a<<'y Notary Public-State of Florida
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My Comm.Expires Oct 2,2016
Commission#FF 015226
Bonded Through NANN&I Notaryr ASSR-