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C) Easements. <br />*Applicants applying for an easement across state land which is managed for the conservation and protection of <br />natural resources shall be required to provide net positive benefit as defined in subsection 18-2.017(38), Florida <br />Administrative Code, if the proposed easement is approved. <br />Parent Lease number (if applicable): 4490 <br />❑✓ A written statement from the managing agency approving the proposed action, along with a statement <br />describing how the proposed easement conforms to the management plan or land use plan (when the <br />easement application involves state land which is under lease or sublease. <br />Any Private entity applying for a private Easement, must also include: <br />❑ The applicable application fee per 18-2.019(6), F.A.C. <br />❑ A written commitment to pay an easement fee based on the appraised market value of the proposed <br />easement. <br />Any Local Governments applying for an Easement, must also include: <br />D A formal resolution adopted by the Board of County/City Commissioners requesting the proposed <br />easement. <br />w) <br />UseAtreeiiients. <br />Parent Lease ber (if applicable): <br />Please indicate what type of use ment is requested: <br />® Well -Monitoring Beach (Re)Nourishment <br />• Geophysical 0 s er: <br />❑ A written statement from the managing agency approving t e . • •osed action, along with a statement <br />describing how the proposed use agreement conforms with the manage • lan or land use plan when <br />the use agreement application involves state land which is under lease or subleas <br />.E) ...0 fx nevant es <br />Release o - Restriction(s) <br />Modification of Deed Res <br />O Reverter Deeds <br />DACS Conveyance (DSL -5) Pursuant to s. 253.025(13)(a), F. . <br />Application for the Use of State Owned Uplands <br />Florida Department of Environmental Protection <br />Page 6 of 6 <br />P23 <br />