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"The FDOT I)Wrict Office Ls to forward this application to the county or city authorityfor its review and concurrence with this recommendation <br />])when the road Ls now under county or city jurlsdiction or 1) when FDOT states that a state road did NOT exist and we then ask jor county or <br />city's verification o%validity. <br />C011NTY OR CITY PUBLIC WORKS DEPT: Please complete either a or b: <br />a. ( ) The (governmental authority) certifies that a state road DID exist on the date <br />of the deed( / ! ) in which the reservation was made and It recommends to the Board of Trustees one of the following; <br />(1) Retain ALL of the reservation, since It is presently a (county/clty) road and we will need 100 feet from the <br />centerline of , also known as for road improvement; or <br />(2) Retain feet from the centerline of also known as <br />which is presently a (county/city) road. <br />b. ( ) The (governmental authority) certifies that Its records reflect that a state road <br />DID NOT exists on the date of the old deed affecting the subject property and that a full release of reservation should be <br />given. <br />By: <br />Title: Date: <br />Signature (county or city ojflclat) <br />NOTE. The local governmental authority should return this application with its recommendation to the applicant so that the applicant may <br />decide whether to apply to the Board ojTrusteesjor a release of reservation. <br />PART IV. INSTRUCTIONS AND INFORMATION REQUIRED TO APPLY FOR THE RELEASE OF A CANAL <br />RESERVATION <br />EVERGLADES DRAINAGE DISTRICT DEEDS <br />D(j NOT S(/BMIT AN APPLICAT/nN TO THE BOARD OF TRUSTEES WHEN REQUESTING THE RELEASE OF A <br />CANAL RESERVATION CONTAINED IN AN EVERGLADES DRAINAGE DISTRICT DEED IF DEEDS STATES <br />CHAPTER 6456, 6957, 14717, OR 20658, LAWS OF FLORIDA IN FIRST PARAGRAPH. SUBMIT REQUESTS TO THE <br />SOUTH FLORIDA WATER MANAGEMENT DISTRICT, POST OFFICE BOX 24680, WEST PALM BEACH, FLORIDA <br />33416-4680 AND. THE EVERGLADES DRAINAGE DISTRICT WILL ISSUE RELEASE OF RESERVATION. <br />ALL OTHER DEEDS <br />SUBMIT ALL OTHER REQUESTS FOR THE RELEASE OF A CANAL RESERVATION ALONG WITH ALL EXHIBITS <br />PERTAINING TO THE CANAL RESERVATION AND THE COMPLETED APPLICATION DIRECTLY TO THE <br />APPROPRIATE WATER MANAGEMENT DISTRICT OFFICE LISTED BELOW. DO NOT SEND DEP CHECK TO <br />WATER MANAGEMENT DISTRICT THE WATER MANAGEMENT DISTRICT WILL DETERMINE WHETHER THE <br />RESERVATION OR ANY PART THEREOF SHOULD BE RELEASED. THE APPLICATION TO THE DEPARTMENT <br />OF ENVIRONMENTAL PROTECTION WILL NOT BE CONSIDERED WITHOUT A RECOMMENDATION FROM <br />THE APPROPRIATE WATER MANAGEMENT DISTRICT. <br />NORTHWEST FLORIDA - Route 1. Bax 3100, Havana, Florida 32333 (8501539-5999 <br />Attn: Land Management and Aroukitinn; Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Leon, <br />Liberty, Okaloosa, Santa Rosa, Wakulla, Walton, Washington. <br />SUWANNEE RIVER - Route 3. Box 64, Live Oak. Florida 32060 t904) 362-1001 <br />Attw Land A a dsition and Management; Alachua (part), Baker (part), Bradford, Columbia, Dixie, Gilchrist, Hamilton, <br />Jefferson, Lafayette, Levy, Madison, Suwannee, Taylor, Union. <br />ST. JOHNS RIVER - 4049 Reid Street. Palatka, Florida 32177-1429 f3861-329-4500 <br />Attn: Department of Land Act isii tion; Alachua (part), Baker (part), Brevard, Clay, Duval, Flagler, Indian River, Lake, <br />Marion (part), Nassau, Okeechobee (pari), Orange (part), Osceola (part), Putnam, Seminole, St. Johns, Volusia, <br />SOUTHWEST FLORIDA - 2379 Broad Street. Brooksville, Flnrida 34609-6899 (3521796-7211.1-800-423-1476 <br />Attn: I and Resources Denartment; Charlotte (part), Citrus, DeSoto, Hardee, Hernando, Hillsborough, Levy, Ahetla, <br />Marion (part), Pasco, Pinellas, Polk (part), Sarasota, Sumter. <br />SOUTH FLORIDA - Post Office Box 24680, West Palm Reach. Florida 33416-468015611 686-8800, 1-800.432-2045(ext 68361 <br />Attn: Real Estate DiviAnn; Broward, Charlotte (part), Collier, Dade, Glades, Hendry, Highlands, Lee, Martin, Monroe, <br />Okeechobee (part), Orange (part), Osceola (part), Palm Beach, St. Lucie (CALL SOUTH FLORIDA WATER MANAGEMENT <br />DISTRICT FOR APPLICA TION AND FEE) <br />The <br />Water Management District Office hereby <br />Revised 08/21/12 <br />123 <br />