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Slection,2: Other-S1eofiformat on <br />A) Leases: <br />Parent Lease number (if existing): <br />\. <br />❑ A statement describing the public benefits that will occur as a result of the proposed lease; how <br />the lease will impact local resources and the general public; and how the proposed lease of state land will <br />not be contrary to the public interest. <br />E_ A written stment from the managing agency agreeing to lease the state-owned parcel(s). <br />___E- For Leases subjectto Section 253.034(13), F.S., provide a business plan with the pertinent information <br />required by Statute. <br />Any Private entity applying for a lease, ust also include: <br />_EL_ A written commitment to pay a le fee based on the appraised market value of the proposed lease. <br />Names and addresses, as shown on the st county tax assessment roll, of all property owners lying <br />with a 500 -foot radius of the state land prop ed for lease, certified by the county property appraiser. <br />Any Local Governments applying for a lease, must also inclu: <br />n A formal resolution adopted by the Board of County/Ci ommissioners requesting the proposed <br />lease. <br />If applying for a Full Release or Partial Release of Lease, please complete the ems below: <br />Are there any subleases, sub -sub leases, etc. within the area requesting to be released? * YES 0 NO <br />ES ONO <br />_a_ A written statement confirming that Lessee understands the release will not be execu -d until the <br />property is leased or sold to another entity. Lessee will remain under lease and will cont i e to be <br />responsible for the maintenance and upkeep of the property until the release is executed by - .Board of <br />Trustee. <br />If so, has notification of the intent to release been provided? <br />13) <br />Subleases: <br />Sublea - number of existing sublease (if applicable): <br />Parent L- . umber (if applicable): <br />O A wri : statement from the managing agency approving the proposed action, along with a statement <br />describing .w the sublease conforms to the management plan or land use plan when the sublease <br />application invo s state land that is under lease. <br />Any Private entity applying for a su. -ase, must also include: <br />O A written commitment to pay a ..lease fee based on one of the following: (1) appraised market value, <br />(2) negotiated value or (3) competiti id. <br />Any Local Governments applying for a sublease, must a . include: <br />O A formal resolution adopted by the Board of County Commissioners requesting the proposed <br />sublease. <br />If applying for a Full Release or Partial Release of Sublease, please comp : the items below: <br />Are there any sub -sub leases, etc. within the area requesting to be released? 0 YES 0 NO <br />If so, has notification of the intent to release been provided? YES ONO <br />n A written statement confirming that Lessee understands the release will not be exec . until the <br />property is leased or sold to another entity. Lessee will remain under lease and will cont ' - - to be <br />responsible for the maintenance and upkeep of the property until the release is executed by th- : oard of <br />Trustee. <br />Application for the Use of State Owned Uplands <br />Florida Department of Environmental Protection <br />Page 5 of 6 <br />P22 <br />