HomeMy WebLinkAboutFilled Land Affidavit I
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE'
FORT PIERCE,FL 34982-5652
772-462-1553
FILLED JANDS AFFIDAVIT
I ;
1, the undersigned, am the owner of the following described property: �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 Peri-nit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with Sectioxl17.04.01,(D), St. tuc:ie County
Land Development Code, I sball be responsible for assuring adequate drainage go 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.
I
i
Matthew Lyle Wynne
Property Owner Name Property Owner Signature is Date
' I
I ,
STATE OF FLORIDA,COUNTY OF S t . Lucie
ACTCNO WLEDGED BEFORE ME THIS n2t? DAY OF / ► ' 14`�'I ,20-L-!�'
BY Matthew Lyle Wynne WHO IS PERSONAL��nMEORVWHOHAS PRODUCED
I
AS IDENTIFICATION.
:Dip a-
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SCAL)
NOTARY PUBLIC TITLE COMMTSSTON NUMBER
Mddt
•a'r P� DOROTHY ANN BASKIN
Notary Public-_State of Florida
.-i My Comm.Expires Oct 2,2016
Commission#FF 015226
Bonded Through National Notary Assn.
111111���
1