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Instructions and general guidance for completing this application: <br />*Please be advised that the information requested herein, is to provide DEP the necessary information to complete <br />the requested authorization. <br />This application is comprised of two (2) separate sections that are outlined and described as follows: <br />Seetioni--,Generatrtriformation <br />This section is used to indicate what type of upland authorization is requested. It is also used for contact <br />information relative to the applicant and/or their representative. In addition, some general property <br />information should be entered. <br />ectibn 2 — Other Specific.Infrmation <br />This part requests specific information relative to the type of upland authorization requested. <br />What Section(s) or Part(s) must be completed? <br />The table below depicts the applicable section(s) or part(s) that must be completed before submitting the application: <br />Type of Authorization . <br />' :Regiested/yF <br />. " i; ' ' " ' ' , '''''''' , x" .' .,�'.•• ' ' :t , - , <br />•3 .: i0 '` �Section(s) or Part(s) to be completed ;�. <br />Section <br />:1 s <br />,,. 1.-'-., . . - Section 2 — ,::.- .• . ; <br />V,_ Peart_ (1. . <br />-ParfB _ " <br />. Part C c- - <br />, - Part D ' <br />r Part E <br />Lease <br />✓ <br />1 <br />., <br />4' ;� I <br />Sublease <br />✓ <br />,, _ <br />.Y <br />„ . a <br />, <br />Easement <br />✓ <br />� • +. <br />✓ <br />N <br />y,, <br />Use Agreement <br />✓ <br />., <br />1 <br />. r• ,:, <br />Conveyance <br />1 <br />,, <br />' „ • . <br />i, s •• <br />✓ <br />Other* <br />✓'r <br />, <br />.. `' <br />., �w • . <br />PRIOR TO COMPLETING THIS APPLICATION, PLEASE BE ADVISED THAT: <br />Any application to use state land which would result in significant adverse impact to state land or associated resources <br />shall not be approved unless the applicant demonstrates there is no other alternative and proposes compensation or <br />mitigation acceptable to the Board of Trustees pursuant to paragraph 18-2.018(2)(i), Florida Administrative Code. <br />Any requested use of state land which has been acquired for a specific purpose, such as conservation and recreation <br />lands, shall be consistent with the original specified purpose for acquiring such land pursuant to paragraph 18- <br />2.018(2)(c), Florida Administrative Code. <br />SPECIAL NOTE TO ALL APPLICANTS: SUBMITTAL OF A COMPLETE APPLICATION SHALL NOT <br />OPERATE TO CREATE ANY RIGHTS OR CONSTITUTE ANY GROUNDS FOR THE DEPARTMENT <br />TO RECOMMEND APPROVAL OF ANY REOUESTED USE OF STATE LAND. THE BOARD OF <br />TRUSTEES HAS THE AUTHORITY AND RESERVES THE RICHT TO DENY ANY APPLICATION. ALL <br />COSTS INCURRED BY APPLICANTS COMPLYING WITH THE REQUIREMENTS OF THIS <br />APPLICATION SHALL BE AT THEIR OWN RISK. COSTS ASSOCIATED WITH OBTAINING AN <br />AUTHORIZATION ARE NON-REFUNDABLE AND SHALL BE ASSUMED BY THE APPLICANT <br />INCLUDING, BUT NOT LIMITED TO, ALL APPRAISALS, ALL SURVEYS, ALL TITLE SEARCHES, <br />AND ALL RECORDING FEES. <br />Completed Applications with any and all required attachments shall be electronically submitted to <br />Upland.ApplicationsAdep.state.fl.us. Please be advised that applications deemed incomplete will be <br />immediately returned to the Applicant with a request to provide any outstanding items. <br />If unable to send electronically, mail (1) one hard copy to the address below: <br />Department of Environmental Protection <br />Division of State Lands <br />Bureau of Public Land Administration <br />3800 Commonwealth Boulevard, MS 130 <br />Tallahassee, Florida 32399-3000 <br />Application for the Use of State Owned Uplands <br />Florida Department of Environmental Protection <br />Page 2 of 6 <br />P19 <br />