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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <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 IV, 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 />Signature: <br />STATE OF FLORIDA, COUNTY OF j% RIVFIZE <br />.Toseph E. Flescher <br />;:Title: <br />ate: <br />Chairman <br />09/11/2025 <br />personally, appeared before me this 11th <br />20-a who subscribed and swore to the above instrument in my presence. <br />day of Sep <br />Notary Public Name: K,-�be-"/ v1 /C , / o My commission expires: April 9, 2027 <br />Kimberly K. Nbi4j-o <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 />KIMBERLY K. MOIRANO <br />'* MY COMMISSION # HH 368125 <br />o�':°' EXPIRES: Apr19, 2027 <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />MMI.,r.PEI I TP <br />APPROVED AS TO FORM <br />AND LEGAL SUFFICIENCY <br />BY <br />NIF W. SHULER <br />OUNT ATTORNEY <br />FWC/DV-APP (Feb 2020) 5 Rule 68-1.003 <br />