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d. A recommendation by the appropriate agency for a canal or road right-of-way release or special requirements for release of right -of -entry for oil/mineral reservation: (1) When requesting the release of the right -of -entry for oiUmInc ral reservation, (refer to Part// on page 4 for Instructions.) (2) When requesting the release of a road right-of-way reservation, a recommendation from the appropriate Department of Transportation District office, and/or County Public Works Department (refer to Part ll! on pages 4 and S). (3) When requesting the release of a canal resemallon, a recommendation from the appropriate Water Management District (refer to Pan' IV on pages S and 6). e. An application fee (non-refundable) in the form of a check in the amount of 5300 per release requested made payable to the Department of Environmental Protection. Note: Please write "Release of Reservation" on the front of the check. f. An application fees required for reactivation of an application. g. Satisfactory evidence certifying that the applicant is the legal record owner of the subject land. Paragraph 18-2.017(53), Florida Administrative Code, defines satisfactory evidence of title to mean a current title insurance policy, current title binder, or title commitment issued by a title insurance company authorized to do business in the State of Florida or an opinion of title prepared by a member of The Florida Bar covering title to the land described below. "Current" means no more than six months old. h. Notarized signature of present owner(s) of record. CERTIFICATE DF TlTLF. (PLEASE COMPLETF. IN FULL, INCLUDINGL ECC L DESCRIPTIONAND DATE) This is to advise that I am a member in good standing of The Florida Bar and that I have examined the public records, abstracts of title, title insurance policy, title insurance binder, or commitment relating to the title to the following described real property lying and being in County, Florida, to -wit: and based, upon said examination, 1 certify that as of (current date), title to the afore described real property is vested in: Print Name ifs _ Florida Bar NumbW SIGNATURE (S) OF PRESENT OWNER (S) OF RECORD JIM*LIFE (�D1N!— LLC_ ;,�the present owner(sjit! .. I'riu! nr Type in rlaalJifiilpteby request a release of reservation on the above -referenced property. STATE OF FLORIDA COUNTY OF ValUSia Subscribed and Sworn to before me this a day or 0dobr--i'- 20al_ " Signal present owner record CSignature of present owner of record Nota , Public Sent) Nly Commission Expires: ignature of present owner of record YP t b�blic SUMMydl<lt MRevised 0B/21/12 �EEvites 11TH X16= .