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INDIAN RIVER COUNTY <br /> ' LAND CLEARING APPLICATION <br /> Date Application Received: <br /> ' PROJECT NUMBER ASSIGNED : <br /> GENERAL INFORMATION <br /> ' 1 . Applicant/Agent Name. <br /> Address : <br /> ' Phone: <br /> ' 2. Location where the proposed activity will occur : <br /> Tax Parcel I.D. #: <br /> Street Address : <br /> U. S . Census Tract & Block: <br /> ' 3 . Reason(s) for clearing [check appropriate reason(s)] : <br /> ' The land clearing or grubbing is necessary in order to make site improvements authorized by an <br /> approved site plan, subdivision approval, or land development permit and the area to be cleared <br /> is the minimum necessary for such work. <br /> In the event the aforementioned approvals are not required bylaw, the proposed clearing is the <br /> necessary for the proposed use or improvement. <br /> ' Specify proposed use : <br /> ' 4 . Erosion Control Plan: <br /> Please describe briefly the method(s) to be used in controlling erosion <br /> that may be expected to occur as a result of the proposed clearing or grubbing. <br /> 1 <br /> ' 5 . Person or Company to be responsible for land clearing : <br /> Name : <br /> 1 Address : <br /> Phone : <br /> ' 6. Method of debris disposal (check appropriate method) : <br /> Debris to be removed to an approved disposal facility. <br /> tDebris to be burned with an air curtain incinerator in accordance with Indian River <br /> Environmental Health Department permit. <br /> 7 . Date the clearing is proposed to begin <br /> Date the clearing is proposed to be complete <br /> ' F.\COMMUN= DEVELOPMEN nUSERSCODE ENFORCEMENTIAPPUCA NS\I AND CLEARING APP.DOC <br />