HomeMy WebLinkAboutFilled Lands Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
_r 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property�� ��vc1
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 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 drainage so that the
im.mediate 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.
Matthew Lyle Wynne
Property Owner Name Property Owner Signature Date
STATEOF FLORIDA,COUNTY OF St . L u c i e
ACKNOWLEDGED BEFORE ME THIS Rb�DAY OF �(.I N E '201L.
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TO ME OR WHO 1H AS PRODUCED
AS rDENTOC—ATION. ,Q
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(S CA L)
NOTARY PUBLIC TITLE COMMISSION NUMBER
DOROTHY ANN:F52
Notary Public-staida
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