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<br />p." 11U'j'tC:flj OIJ' nlJJmlJ HElB'I'HIC'I'IONB
<br />'1'110= '.llldeJ.:HI\Jlll:lU 11Ilde:lJ:sttllldS I:llat \.Ills pcrlltl_ IO,~, 1m ,;I'lliJ;;ut 1:0 "deed n.sl:J..-!ul:Jolls" H-lddl
<br />1lIi:t,\' Lc IIIOU. J..i:i:ltLJcl:Jve 1:llan CJty l'sglllal:ioIJS, 'Ih" Ulldt:Jl~J\Jllcd aaellllles t:eapollsUdl.lt:\, to!:
<br />[l()lllplJ,wue Ilj tll ~IlY appl:l.call] e deed LescJ..'J,;LJo!lI"
<br />B, IlHJ,J(;fjIIIBIllU CON'l'HfHl'l'(JHS }\NIJ COII'l'Hl\C'I'OR RH:.9PU/j,'JI HI 1,}'I'UJ,,':J
<br />J f Lhe ()1'lIle1: Itaa hi 1,ed a lJOllt1:aut(Jl: OJ.. uOlltJ:CllJt:O.l,~1 to \llldertakeo l'/r;t-),., they 1I1lilY be 1:1'''')111 rCld
<br />III be J j IJdIlSl:Hl .III O!ncordalloe \lJth ::>tClte a!ld loc,U 1 f;:lgljlaLJolls. It the (JollI:.tltUl:llf la Ilol:
<br />lJuellsed as leqlllled IJY JaH, bol:h l:he OHller alld CC>lll:li:1Cl:Oi' llIay be nll:.,d for. a Ildf:ldellHliilJlor
<br />1I1olatioll 11I1(1el' stal:e J au, 1 f the OIr)IJt:H: en; J11\:fllldE:;d CloIJl:raut.:or: OIl'<=: 11\Ir::tHl;cd n fal t.o ~lllal
<br />I JuauSlll() reljlli181l1en\".s llIay apply tut: l:lie inLend~HI lvod:, Lhey are adlfJt:lsd to (JDIlIC'wL Lha
<br />1:Il.y of :?,epliylidLls ElldldJIHJ DepartlllenL, I1L:i-CjfJEI 6611.
<br />ji'ulLlleUIIOl:E., 11:' Lhe Ollller has liJu:d a oontraol:ol or uroJ1tJ:aators, he J.s auvlslid to llavl;O l:lte
<br />CWllll:'a(;I:oJ.:(a) l:lJgll pol:l:.iona of the "Conl:1:aotot Secl:ions" of tlds appl:loCltJon f.,ll: Hld'lll l:hlil\,
<br />11111 be n:aponl:ll blfl, I f you, as the Olme!: signs cHI Ll,e WJllt.taot'or, you are llld:\ na I:j 1)9 Lila L
<br />YOII, !:ttl.her: t.han tile nOllt:J:'tlotor, Clrl:l respons.tbl e tClt Ihellur-!,. J f the (Jolll.:n'HlI.:ul: II! l:iIhetl
<br />\IUII I: D S j \JII as Coli t tanto 1 Lila t ilia y be an J ndJ ca I: j 011 Lh a l:, he .I 01 no I: p t'l1pe r lyU \Jen fUfHl a IH I ! s
<br />lIut entitled l:o p6l:IIlJt:L.tIlY pdvileges in the cJty of Z=phYl'hllls.
<br />I:. 'J'HI\IHll'OH'J'NI'TON IlH'AC'l' FffiJiJB JlljJ) U'I'ILI'ry CONIlItC'I'IOII 1j'J:jjliJa
<br />)I, COIIB'l'Hl/C'.l'IlHHI l.T1iJ11 I,J~W (c/IAP'l'IiJH '11'3, F.T,ORIIJJ\ ,'3'I'A'l'\]'PHlf.l, AS At1BnmB:ll)
<br />j oerl:j ty that: I, the Olppllci:lllL:, hal/Ill be.1Il !lx:oVJ.c:led \11th a U()~I.v of \ljj'] ().l:l.di:l' to COIII:lI:l:llulloll
<br />llt;ll 1'011' - !Jnllll:lOI'/IIf;ilr' ~ Pl:rJt:eot.ton GIIJde" prepared b~r tile E'.lor.lda /leparl:llIl:lnt of 1\\)11 Gllll:lltiD
<br />:tnd CUII/:l11l1l6i: J\ffaira. If the applIcant il3 aOlllf,lOlle ClUj_it' LIlCi\: tile "olme.r", 1 rJer,ltV l;llal: 1
<br />Ilalfl:l oill:,L111ed i:l copy of the ahCiv~ uel3nr.l bed dOOlllnc:nl: and prolll:1.se III uooc!fcl.lLIl t,o delj Vlilt'
<br />j \. l:o I-,li.. "uI/lIfll:" !IdOl: \:0 UPIOlIIl:HInSlill:lIlL,
<br />H:, COI'I'I'HhC'j'()H' f.l!()~VIH!lB' B 1\ff'ff'C/ll\Vl'l'
<br />I ulHtity Lilat: all l:lIe illforlllaUon.i1l l:hls appl:lcat:Joll II'l aoclIraLe and LIlClI-. allllntl, Il,lll
<br />I,c done III uOlllpJ Jallee Irl th a LJ applioabJ co JaHs rollgldatillg UOnstrllOUnn, zOlll.nlJ, i:llld 11:11ld
<br />cleva l.oPIIIl:lIlI:.
<br />}Ippll caLJonl s herehy IllEirle to obtain a pl:li.'IIlJ.t l:o do 1/01'), and l11I:lI:Clllatloll I:Hi j lldi nated. 1
<br />(Jl;ll:[:j fy Lhal: no I/ol-I( or IntltallflUon lias oomlllenoed pd.[lt: to l/:l!:lqalWe of Ii pel'lld L alld Ilia\:.
<br />all Iloth IILII be P~.t:fonl\ed \:0 meet standards uf all laHa regulating (JOllsLl.IlUtJoll, 1:II:y
<br />c:or!f:lS, zOlllllY regllllll:Jolls, and lCllld d=veloplIIenl: leYlI1"LlollS jll the Jlll:ll:ldlutjon. I alfw
<br />CelLI fy Lllal:'T lllHlensLalld tbat: tile U:iglllal:JoI16 of other govenlll\61lt:al auenClil:ls lIIay l:lpply \:0
<br />llie In\:ellded Hork, and l:hal: It: Ja my !;~~ppna!1~.ll.t.ty to Jdelll:Jty HIlla\:. autlOlIS [ III1IS\: lih.. 1:0
<br />bt-J ill C(lIll{l1 I tlll(Jb. SIICh agenulea JlI(Jlllde but at's lln\: limJ.ted to I . Department of
<br />l1:1lvi !:OlllIlCllll: a j He9\lla\: lUIl'-Cyprel;ll':! Bi'lylleads, Wetland Areaf:l alld Hlllvl.tulllilelltaLI Y l:Jelud.l:J ve
<br />Lauds, ~lal.eL'/Wasl6Hilt:er 'j'reaLmenl:
<br />Afj()liLlll~bl:il: j!'lorJda ~later l'1allagemenl: llJ.td:r.1 uL--WeUs, CYPX.'l:lS8 Baylieads, ~~dLlalld Jlreas,
<br />A II .:l):.11Jg Wa l:e1CJollLses
<br />^1H:lIIV Curp/;! of llingJneel:s-Seal'laLls, Don!>.:!, Navigable Wfltl:ll:\'IaYfi
<br />"}J~pal.llllenl: of lIealth & HehabJllt<Il:Jve Bel:viues, E:nvJl:OlI1ll6ntttl I/ealtll I/IlJt>WeJ1I:I,
<br />Wa l:'ll: e~Ii:lL e r 'I' l'ea LJIll:l1l t:, B efll:l C '['all], l:l
<br />il). fj, IJillvJtollloelltal PtoteoLi.oll J\gencY-Aabestos ahatell\l:;l1\:
<br />') i:l1~o c;<=:ILlfy that., Jf fLU material. :Is to be u/:led In /flood Zone "A" or "A,el.n.", it: js
<br />Ilwll:lt'sl:ood Lllat a dtaJ.llage plan <Iddn:seJng a "compensatJng vnlllme" \'/1.11 he l:lllhllll tt:C:id l/hJ.dl
<br />1s pHlpined by a PJoI:e/:l.sJona.l. eng.Lru,,'l;ll ,regJstered in the Sl:ate of lJ'lOl::l.da Pliot. t:o permit
<br />,isflllanOl:l .
<br />1\ perlldl: laSlled shall he; construed to be a IJoense 1:0 proceed \lil:lI I:he r/Ork and not at.:!
<br />i:lllthurll.y \0 vIolate, canuel, altel:, or set aside any pr'ovl.s:lolls of I'lIe teolln.l.naJ (l{)ClcHI,
<br />not iihaU IIHllIlHloe of. a pl:lJ:lnU'. prevent: the Bllildill\j Offjnlal frolll Lhen.lCjft:er reqll.ll;!llg 1:1
<br />r:OrJ:flu[jOll uf enots ill plalls, uonsLnlCJtJon, or VJ..n1.f:d:ions of any IJoc.te. liIVtU;V plum!t
<br />J.~lwed aha II bellume illvdl d Im.l~u the wOJ;;~ &Hl~hod,z\fld by 6lJuh perOlj t ja llOlllllllilllOillCi 11-1 tll J II
<br />~j 1\ lJ1lHltha of iSaUttll(18, or U: IHlrk Rllthorj,zed by Lhe ptHlrIJ L Is f;lllspellded or aballdollCld for a
<br />ped.od ot f:dJI JlloIII:hs atter the l:i.me the \'lor), is UOIIIDISl1ued. One 90 day eJltellfl.!.oll or. Lillie
<br />lIlay be cd lOlled for thc= peq:mit Hit:h fee oharge of ~15, 0(1. 'Phe C:JIt:enslon shall ba Ul(jlllUt:ed
<br />j n \'Ii:! \:111Y to tile BlILJdi.ny OffilJia 1. An apprQved lllfilpeCll:.ion Ill1lS t; be ] o\Jgt=d dill:] llU l:li:lnll !;Ill(
<br />lIlouth pellod, 01 Lhe pro:} eot: Id.ll, be oOlll:lJdered abandoned.
<br />vO\fUlJlI1.3 'J'O DWHIllRI 't(lUR ff'AT],IlHIiJ 'l'() R/iJCORD A NO'j'ICE Ofj' C()I'1~1H:NCIJ:NffiN'j' Nl\Y IlmfJlJ/"I' III YIlI/n
<br />P.AYIlIG 'I'WlCH: II'OH IHPHOVH:lvlfilN'rs '1'0 YOlJn PHO!?HlH'!'Y. IH' YOU I1I'l'l!am 'J'O (lA'l'MII li'lI/AlllJiIW, I:OIlSIJL'I'
<br />WJ'J'II YOIIR l.HIli/JfilB OH l\H A'J"J'DRI/F.lY BH:II'DRH: RIl:CUnDII~G YOIIH NU'l'ICm OJ!' COIYJ11U:tH:tm1HIlI'I', ,/DBB IllfIJH:H
<br />~2, SOU IN VAJ,UE: DO 11(J'I' NlJaW '1'0 RB:CUfW AND POS'J' II "NO'I'TCH: Oli' Cot'H'1/1:lIClJ:fvlli:tj'I'N.
<br />
<br />\-".'1'1)) J. .':J.~J!.'I::J U.":' .I:J.~;!.~.".~!:,~\ )\nIJY'TDA\frf1.1
<br />
<br />SI i';IIJ\'I'[) fHill OWIHUn OR J\l.3H:lI'f'
<br />
<br />... ~ - -. .~. ~ -"---"-'-- .. ~..,_.__.. - . .__.~._-_.
<br />
<br />Sl<:lHJ\'j'l/Hli: I COl/'I'RAC't'UH
<br />
<br />--_._~~_.,..-..._.,--.._" -.,
<br />
<br />,'j'1'/\'J'fil (JU' H'Lum /ll\
<br />
<br />(!(j U WI' Y (J Ii' .-.---- --'--'" --____,___________..'0 _____.m_..__ __..,_
<br />
<br />'J'ha torliiguJllY j Il51:rlllllant Hf\F.l aakllo\rll edged
<br />FletclLe lIIe 1:lds_..._, d<lY of,_____,_, l~,_,
<br />
<br />bV - , u, _____. - .."'__._ u_._.___ _ ___.-"._'___..,__...., ___ _. ...____.,,_...
<br />
<br />(uallle of person clLllmo\~lerlged)
<br />111/110 .is pet'sonal1y 10101'10 1:0 llIe, OJ;
<br />
<br />B'I'A'I'E ClIi' I1'LORTlJA
<br />
<br />COllN'J'Y DH' _____..__.____,........,__....___ ".'__""_' _..____,_..
<br />
<br />'l'he foregojng Jnsl:J:\llflent: Has au)worllli:ldYCld
<br />Before llIe tills -....__r.iay of- l~
<br />
<br />by _"",___ ....____..__...__.'''_,_.__.. _ ..__ _ _'" ,__._ ..__...."".........,_. ",-,._" ,._,__
<br />(lIallle uf perBoll ClOICllol'lledq.tdl
<br />LJillO j ape J..'/3 (HI a LJ y 1\l\lH'Hl t: 0 Ill.. I (lI:
<br />
<br />I I ~,lIo ha fi II l:or!lload_____..,_ ..._.._____,..__..______
<br />(type of JdellUfJoaUoll)
<br />a!H1 11110/1 dId [Jdld lloL tah: an oath.
<br />
<br />II \rlllD IIClI:l prOd\lOfllc!'n......-______.___..,......__,..___,....,..
<br />( type () f 1 d(:jlll: LEJmd.1 nld
<br />and vllln []dJd (JUd nol: LttJle an oal:h
<br />
<br />SJglli.:ll:lI1e of persoll talrJn9 f.wkllo\'lledvement'
<br />
<br />... ..----.-..--..--- ----.-... ._..._..-~._......_-...._._,.......
<br />
<br />-. . -.........-----.,..--..-.-."'...-..-.
<br />
<br />. ~......_._."._'_..np...*_~. __......
<br />
<br />,':Ilgnal:Ut6 of persol1 Lal.l.ll\1 aoknO\lI edglllent I
<br />
<br />lli:lllle l:Ylled,
<br />
<br />pcllll.ed 01 stalllped
<br />
<br />Hallie L\'[Jr.;d, pLlnted or IOLi:\lIIpbd
<br />
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