HomeMy WebLinkAboutFilled Land Affidavit l
ST. LUCIE.COUNTY
BUILDING & ZONING
: : 2300 VIRGINIA AVENUE ij
°W FORT PIERCE,FL 34982-5652
•, " 772-462-1553 P�{i�71T1fiUG
�..,, 5t. Lucie Corsnty, FL
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: "J �'`'� 0,
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 Perini.t. 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. .L'uc:ie 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 neither 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.
Matthew Lyle Wynne
Property Owner Name Property Owner Signature Date
STATE OF FLOR'rDA,COUNTY OF St . Lucie
ACKNOWLEDGED BEFORE ME THIS DAY OF /N-/O 20J&
BYMatthew Lyle Wynne tCWHOISPERSONALLY KNOW' NTOMEORW140HAS PRODUCL"D
AS rOENTIFiCATIO`N..
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
f C� p
NOTARY PUBLIC TITLE /-1�d COMM7SSTON NUMBER (SEAL)
lic State of Florida
®u Notary Pub
Kerd Budka
" opI ton
Cjres 0512512020978543
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