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STATE OF FLORIDA <br />INDIAN RIVER COUNTY <br />THIS IS TO CERTIFY THAT THIS ISATRUEAND CORRECT <br />COPY OF THE ORIGINAL ON FXE IN THIS OFFtM <br />RYAN l.. BUT) CLERK <br />BY.�,C�n <br />DATE019115b11A <br />APPLICANT SIGNATURE <br />Application Is hereby made for the activities described herein. I certify that I am familiar with the information contained <br />in the application, and to the best of my knowledge and belief, this information is true, complete, and accurate. I <br />further certify that I possess the authority (see grant guidelines Section 1V, 4.4) to sign on behalf of the Applicant and <br />that the Applicant has the ability to undertake the proposed activities in compliance with the FWC Derelict Vessel <br />Removal Grant Program Guidelines. <br />I also certify that the applicant's governing body is aware of and has authorized the project manager as the official <br />representative of the applicant to act in connection with this application and subsequent project, as well as to provide <br />additional information as may be required. By my signature below, the applicant agrees to comply with all applicable <br />federal, state, and local laws in conjunction with this proposal and the resulting project if approved. <br />Print/Type Name: <br />Signa <br />Joseph E. Flespslo^�- <br />STATE OF FLORIDA, COUNTY OF Indian River <br />�vRl''ER CO.0 <br />Chairman <br />January 14, 2025_ <br />Joseph E. Flescher personally, appeared before me this 28th day of January <br />20 25 who subscribed and swore to the above instrument in my presence. <br />Notary Public Name:gl .. LIC—,R My commission expires: 04/09/2027 <br />NOTE: Instruction and further information regarding this application and the FWC Derelict Vessel Removal Grant <br />Program can be found In the Program's Guidelines document or by contacting the Program Administrator at: Florida <br />Fish and Wildlife Conservation Commission, Boating and Waterways Section, Derelict Vessel Program, 620 South <br />Meridian Street, Tallahassee, FL 32399-1600 or call (850) 488-5600 <br />APPROVIED AS TO INORM <br />AND LEGAL SUFFICIENCY <br />BY <br />NI—'—FW. SHULER <br />eE <br />UNTY ATTORNEY <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />V <br />E6 ' 10MBERLYKMoftw <br />W COMMISSION S HH 368126 <br />•'.'!.. �P� EXPIRES: Apra 9, 2071 <br />FWC/DV-APP (Feb 2020) 19 <br />Rule 68-1.003 <br />