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' THE APPLICATION MUST BE SIGNED BY THE PERSON WHO DESIRES TO UNDERTAKE THE PROPOSED <br /> CTIVITY, HOWEVER, THE APPLICATION MAY BE SIGNED BY A DULY AUTHORIZED AGENT IF t` <br /> _ ACCOMPANIED BY A STATEMENT BY THAT PERSON DESIGNATING THE AGENT AND AGREEING TO <br /> FURNISH UPON REQUEST, SUPPLEMENT INFORMATION IN SUPPORT OF THE APPLICATION. <br /> I, the undersigned, do hereby certify that I am familiar with Chapter 927 (Tree Protection and Land Clearing) of the Land <br /> Development Regulations of Indian River County and that the information contained within this application, to the best of my <br /> knowledge and belief, is true complete and accurate. I agree to provide any additional information/data that maybe necessary <br /> to fully process this application. I also agree to provide entry to the project site for inspectors from the Indian River County <br /> ' Planning and Development Division of an authorized agent for Indian River County Planning and Development Division for <br /> the purposed of allowing preliminary analysis of the site and for any subsequent monitoring of the project as may be required . <br /> I further certify that I possess the authority to undertake the proposed activities . <br /> ' Signature of Applicant Date <br /> A $40 . 00 filing fee must be attached. Please remit checks or money order only - payable to Indian River County. <br /> The following information is required for application completeness. Please check that the attachments are submitted to ensure <br /> prompt processing of your application. <br /> ' Location Map <br /> Tree Survey and/or Aerial <br /> Deed of Ownershlp <br /> ' OFFICE USE <br /> ' Application Complete <br /> ' Date Initials <br /> ' FACOMMUNnY DEVELOPN E MUSERSICODE ENF0RCEMEN7%APPLICA NS% AND CLEARING APP.DOC <br />