Title: Application for Permit SWFWMD
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Permanent Link: http://ufdc.ufl.edu/UF00050910/00001
 Material Information
Title: Application for Permit SWFWMD
Physical Description: 1p.
Language: English
 Subjects
Spatial Coverage: North America -- United States of America -- Florida
 Notes
General Note: Box 2, Folder 1A ( SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT (Regulatory), Folder 1 ), Item 92
Funding: Digitized by the Legal Technology Institute in the Levin College of Law at the University of Florida.
 Record Information
Bibliographic ID: UF00050910
Volume ID: VID00001
Source Institution: University of Florida
Holding Location: Levin College of Law, University of Florida
Rights Management: All rights reserved by the source institution and holding location.

Full Text


NO CARBON REQUIRED


APPLICATION FOR PERMIT

SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT

P. 0. Box 216, Brooksville, Florida



1. Description of Works to be constructed:



S... ................................................ .......................

2. Location:
County: ........................ Section: .............................. Township: ............... ......... Range: ..............
Block: ..................................... Lot: ...................................... Subdivision: .......... ......... .......

3. Southwest Florida Water Management District work involved:


4. Name and address of applicant:


C ity ........................... .............................................. ... State............................... State

5. Area (acres) proposed to be served: (If application is for drainage or irrigation connection, list the acre-
ages involved.)


6. How soon after receipt of the permit will work commence? ................ days.
W hen will work be completed? ...................................
(It is understood that date of commencement of work and date of completion are approximate only. How-
ever, if no work is initiated within six months after issue of permit, the permit is automatically cancelled.)o

7. This application including sketches, drawings or plans and specifications attached contains a full and com-..
plete description of the work proposed or use desired of the above described facilities of the District and
for which permit is herewith applied. It shall be a part of any permit that may be issued. ;

Instructions concerning preparation of drawings. are included in this pamphlet.
Subm itted this ............... day of ........... ............................... 19.......


: Signature of Applicant "'


S(Approved) (Disapproved) by Engineering Dept. .............................:., 19..... by ..... ... ....... .
; (Approved) (Disapproved) by Maint. & Operation Dept. ......................, 19....... by .......
Construction inspected and approved ......... ... ...................... ......., 19. .... by ....................................


\-; 1' ; Applicant keeps Pink Copy and sends remaining three forward. '




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