HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & Z0NIN1G
2300 VIRGIMA AVENUE
j: FORT PIERCE,FL 34982-5652
772-462-1553
FILLED LANDS AFFIDA „IIT
1, the undersigned, am the owner of the following describedproperty.:��
Part _of 3414-501-1701-000/9 ; Section 26 , Township 361s & Range 40E
(Tax ID/Legal description/Address) I j
.for which I have applied to St. Lucie County for a Final Developme.nt�Perin.it. 1n accepting
this Final Development Permit, BP Number , 1 acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01•(D), St. Lucie County
Land Development Code, 1 shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I furtheiJack.n.'owledge that in
granting this permitfor the development of thisproperty, St. Lucie Count is neither obliged
g g P P Y� g
nor liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community. j
I
Matthew Lyle W nne
P.roperty Owner Name Property Owner Signature '; Date
,j
MI
STATE OF FLORIDA,COUNTY OF S t . Lucie
ACKNOWLEDGED BEFORE ME THIS C9-C) DAY OF / /( 1 , ,20 1 6',I
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TOME ORW14HASPRODUCCO
AS IDENTIFICATION.
'I
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
l (S CX L)
NOTARY PUBLIC TITLE COMMISSION NUMBER
F-O )
DOROTOY ANN•BASKIN
vs Notary Public-State of FloridaMyComm;Expires.Oct 2,2016 Commission#FF 015226
* o- tlonded Through National Notary Assn.
II ,