HomeMy WebLinkAboutFilled Land Affidavit II .
n . . ST. LUCIE COUNTY
---- ` ? � BUILDING & ZONING
2300 VIRGINIA AVENUE';
FORT PIERCE,FL 34982-5652
� 772-462-1553
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FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following describedproperty,�� N\\(_\ tr�cC� /j�+�
Part of 3414-501-1701-000/9 ; Section 26 , Township' 36s & Range 40E
(Tax ID/Legal description/Address)
.for which I have applied to St. Lucie County for a Final Development',Perxn.it. In accepting
tbis 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 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 neitbe.r obliged
nor liable to provide for, or maintain in any form, adequate drainage o:ff my property which
will not adversely affect the immediate community.
I
III D
Matthew
Lyle Wynne
v .O �p
Property Owner Name Property Owner Signature Date.
STATE OF FLORIDA,COUNTY OF St . Lucie
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ACKNOWLEDGED BEFORE METHIS DAX OF_A) .20
BY Matthew Lyle Wynne WHO IS PERSONALTOMEORW140HAS PRODUCEO
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTIdRY
NOTARY PUBLIC TITLE COMMISSION NU BER
DOROTHY ANN BASKIN
`,2o;Pr PUe` 'iNotary Public-State of Florida
My corl,xpires Oct 2,2016
Commission#FF 015226
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,9%eOF P", Banded Through National Notary Assn.
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