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Indian River County Department of Utility Services OGC File No. 08 -1661A Page 2 of 4 3 . Respondent acknowledged but waives its right to an administrative hearing afforded by Sections 120 . 569 and 120 . 57, Florida Statutes, on the terms of this Amendment. Respondent acknowledges its right to appeal the terms of this Amendment pursuant to Section 120 . 68 , Florida Statutes, but waives that right upon signing this Amendment . 4 . Persons who are not parties to this Order, but whose substantial interests are affectedby it, have a right to petition for an administrative hearing under sections 120 . 569 and 120 . 57, Florida Statutes . Because the administrative hearing process is designed to formulate final agency action, the filing of a petition concerning this Consent Order means that the Department' s final action may be different from the position it has taken in the Order . The petition for administrative hearing must contain all of the following information : a) The OGC Number assigned to this Order; b) The name, address, and telephone number of each petitioner; the name, address, and telephone number of the petitioner' s representative, if any, which shall be the address for service purposes during the course of the proceeding; c) An explanation of how the petitioner' s substantial interests will be affected by the Order; d) A statement of when and how the petitioner received notice of the Order; e) Either a statement of all material facts disputed by the petitioner or a statement that the petitioner does not dispute any material facts; f) A statement of the specific facts the petitioner contends warrant reversal or modification of the Order; g) A statement of the rules or statutes the petitioner contends require reversal or modification of the Order; and h) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Consent Order . The petition must be filed (received ) at the Department ' s Office of General Counsel, 3900 Commonwealth Boulevard, MS# 35, Tallahassee, Florida 32399-3000 within 21 days of receipt of this notice . A copy of the petition must also be mailed at the time of filing to the District Office at 3319 Maguire Boulevard, Suite 232, Orlando, Florida 32803 -3767 . Failure to file a petition within the 21 - day period constitutes a person' s waiver of the right to request an administrative hearing and to participate as a party to this proceeding under sections 120 . 569 and 120 . 57, Florida Statutes . Before the deadline for filing a petition, a person whose substantial interests are affected by this Order may choose to pursue mediation as an alternative remedy under section 120 . 573, Florida Statutes . Choosing mediation will not adversely affect such person' s right to request an administrative hearing if mediation does not result in a settlement . Additional information about mediation is provided in section 120 . 573, Florida Statutes and Rule 62- 110 . 106 ( 12) , Florida Administrative Code . 5 . Except as expressly amended by this Amendment, the Order remains in full force and effect. The terms and conditions of the Order. , as amended by this Amendment, may