If you are submitting any application, please review the following BEFORE submitting: Is the application filled-out completely?

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1 Desoto County Board of County Commissioners Planning and Zoning Department 201 East Oak Street; Suite 204 Arcadia, Florida Phone: (863) Fax: (863) NOTICE TO ALL: If you are submitting any application, please review the following BEFORE submitting: Is the application filled-out completely? Does your signature need to be notarized? Does the application require any additional information or documents be submitted? Is there an application fee? ALL property owners MUST sign the application. If notarized in this office, a notary fee is required to be paid at time of service. Incomplete applications may not be accepted or may be returned. This can delay processing of your request. Thank you. ER app. Updated September 2010 Page 1 of 9

2 ADVIERTA A TODO: Si usted se somete cualquier aplicación, revisa por favor el siguiente ANTES DE someter: La aplicación llenó completamente? Debe su firma para ser autenticada? Requiere la aplicación información o los documentos adicional son sometidos? Hay una cuota? TODOS dueños de propiedades deben firmar aplicación. Si autenticado en esta oficina, un honorario de notario es requerido a ser pagado en tiempo de servicio. Las aplicaciones incompletas no pueden ser aceptadas ni pueden ser regresadas. Esto puede demorar el procesamiento de su petición. Gracias. ER app. Updated September 2010 Page 2 of 9

3 Desoto County Board of County Commissioners Planning and Zoning Department 201 East Oak Street; Suite 204 Arcadia, Florida Phone: (863) Fax: (863) ER-Easement Approval Application Notice to applicant and/or agent: If you wish to obtain a copy of the Staff Report (staff findings) prior to hearing by the Board of County Commissioners, please contact the Planning and Zoning Office. It is the applicant or duly authorized agent s responsibility to request a copy of this information. Staff reports are complete and available 7-10 days prior to the first meeting for which the case will be scheduled for hearing. The Planning and Zoning Office is open Monday through Friday, from 8am to 5pm. Additionally, should the applicant or the applicant s duly authorized agent wish at any time to remove the case from any hearing once fees have been paid, a written and signed request must be delivered to the Planning and Zoning Office prior to 1pm the scheduled meeting date. Either the applicant/owner or duly authorized agent should plan to attend all scheduled public hearings for this request. In the event of no appropriate representation for the request is present at the public hearings, the Board(s) has (have) the discretion to reschedule or continue hearing of any request. REFERENCES Our Land Development Regulations, DeSoto County Comprehensive Plan & Future Land Use Map, and DeSoto County Code of Ordinances are located online at Phone: 863/ Fax: 863/ ER app. Updated September 2010 Page 3 of 9

4 Desoto County Board of County Commissioners Planning and Zoning Department 201 East Oak Street; Suite 204 Arcadia, Florida Phone: (863) Fax: (863) APPLICATION FOR EASEMENT APPROVAL (ER) SECTION COUNTY LAND DEVELOPMENT REGULATIONS APPLICATION ACCEPTANCE (TO BE FILLED IN BY PLANNING STAFF) RZ # Received Receipt# Accepted by PLEASE REVIEW ALL INFORMATION ATTACHED BEFORE SUBMITTING APPLICATION. 1. NAME OF PROPERTY OWNER ADDRESS: ADDRESS ZIP PHONE 2. ARE THERE OTHER PEOPLE WHO HAVE PART OWNERSHIP OF SUBJECT PROPERTY? YES NO IF YES, PLEASE SUPPLY. NAME PHONE ADDRESS ZIP 3. NAME OF AGENT, IF APPLICABLE ADDRESS: ADDRESS ZIP PHONE Required attached documents for submittal: Proof of ownership (Tax bill, Property Appraiser s Card, or Warranty Deed) Legal description of the property for which easement is requested for access Legal description of easement being requested Surveyor s drawing of the proposed easement indicating subject parcel and other parcels across which easement may lay, abutting parcels, and access roadway. YOU MUST ALSO provide an ELECTRONIC version of the legal descriptions and surveyor s drawing (CD) Location map of property with property clearly marked and street names, cross streets Nine (9) complete copies of application submittal ER app. Updated September 2010 Page 4 of 9

5 PROPERTY INFORMATION 1. LOCATION OF PROPERTY (address as registered with 911/Emergency Management office) 2. PARCEL NUMBER (tax id number) IMPROVEMENTS CURRENTLY ON PROPERTY (any structures, sidewalks, driveways, culverts, well, septic tank, fence, etc.) 4. PROPERTY ZONING CLASSIFICATION 5. SUBDIVISION NAME (IF PLATTED) 6. FUTURE LAND USE CATEGORY (from DeSoto County Comprehensive Plan Land Use Map 8. FLOOD ZONE DESIGNATION 9. DOES THE SUBJECT PARCEL ABUT A RIVER OR CREEK? 10. DOES THE SUBJECT PARCEL LIE WITHIN THE CONSERVATION LAND USE OVERLAY? 11. LENGTH OF THE PROPOSED EASEMENT 12. EXISING USE OF SUBJECT PROPERTY (ex: residence, grove, cattle grazing, business, vacant, etc.) 13. EXISTING USE OF SURROUNDING PROPERTIES (ex: residence, grove, cattle grazing, business, vacant, etc.) DIRECTLY SURROUNDING THIS PARCEL/THESE PARCELS A. TO THE NORTH B. TO THE SOUTH C. TO THE EAST D. TO THE WEST 14. WHAT IS THE PROPOSED WIDTH AND CONDITION OF THIS ACCESS EASEMENT? 15. IS THE PROPOSED EASEMENT CONSISTENT WITH LDR SECTION ? ER app. Updated September 2010 Page 5 of 9

6 SIGNATURE THIS IS TO CERTIFY THAT I AM THE OWNER, OR THE OWNER S DULY AUTHORIZED AGENT, OF THE PROPERTY IDENTIFIED HEREIN AND ALL INFORMATION FILED HEREWITH IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT FAILURE TO SUBMIT A COMPLETED APPLICATION WILL BE CAUSE FOR NOT ACCEPTING THE APPLICATION OR FOR RETURN OF THE APPLICATION. (NOTE: THE ATTACHED AFFIDAVIT OF OWNERSHIP AND AGENT AUTHORIZATION MUST BE COMPLETED IF AN AGENT IS USED). PRINT NAME OF OWNER OR AGENT (OWNER OR AUTHORIZED AGENT SIGNATURE) (DATE) PRINT NAME OF OWNER OR AGENT (OWNER OR AUTHORIZED AGENT SIGNATURE) (DATE) NOTARY SPACE BELOW THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF, 20 BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION AND WHO DID NOT TAKE AN OATH. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES ER app. Updated September 2010 Page 6 of 9

7 EXHIBIT A LEGAL DESCRIPTION OF EASEMENT (It is not necessary to use this exhibit if a complete legal description was included on Page 2 of this application) The legal description of said property in DeSoto County, Florida, being: ER app. Updated September 2010 Page 7 of 9

8 EXHIBIT B AFFIDAVIT OF OWNERSHIP AND AGENT AUTHORIZATION (TO BE COMPLETED ONLY IF AN AGENT IS USED) PLEASE PRINT ALL NAMES OF ALL PROPERTY OWNERS BELOW: BEING FIRST DULY SWORN, DEPOSE(S) AND SAY(S) THAT: 1. I AM (WE ARE) THE OWNER(S) AND RECORD TITLE HOLDER(S) OF THE FOLLOWING DESCRIBED PROPERTY, TO WIT: 2. THAT THIS PROPERTY CONSTITUTES THE PROPERTY FOR WHICH A REQUEST FOR ACCESS EASEMENT APPROVAL IS BEING APPLIED FOR IN DESOTO COUNTY, FLORIDA; 3. THAT THE UNDERSIGNED HAS (HAVE) APPOINTED AND DOES (DO) APPOINT (print the agent s name(s) AS HIS/HER (THEIR) AGENT(S) TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY PURSUANT TO SAID REQUEST: 4. THAT THIS AFFIDAVIT HAS BEEN EXECUTED TO INDUCE DESOTO COUNTY, FLORIDA, TO CONSIDER AND ACT ON THE HEREIN DESCRIBED REQUEST; 5. THAT I (WE) THE UNDERSIGNED, HEREBY CERTIFY THAT THE FOREGOING IS TRUE AND CORRECT. (PROPERTY OWNER (PROPERTY OWNER) (PROPERTY OWNER (PROPERTY OWNER) THIS FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF, 20 BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION AND WHO DID NOT TAKE THE OATH. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES ER app. Updated September 2010 Page 8 of 9

9 (B)(1)(c) Copied in partial on this page. B. A building permit shall be issued for any size parcel of land if one of the following conditions are satisfied: 1. The parcel of land has frontage on either: a. A Right-of-Way of the State Road System, or b. A perpetual easement recorded prior to March 1, 1982, which connects the parcel of land with any of the various other types of Rights-of-Way described in (a),(e),(g) or (h)(3) of this subsection, or c. An exclusive and perpetual easement, approved by the Board, which is no less than sixty (60) feet in width, unless a lesser width is approved, prepared in accordance with form f-23 and which connects the parcel of land with any of the various types of Rights-of- Way described in (a),(e),(g), or (h)(1) or (h)(3) of this subsection and which is recorded after March 1, ER app. Updated September 2010 Page 9 of 9

Incomplete applications may not be accepted or may be returned. This can delay processing of your request. Thank you.

Incomplete applications may not be accepted or may be returned. This can delay processing of your request. Thank you. Desoto County Board of County Commissioners Planning and Zoning Department 201 East Oak Street; Suite 204 Arcadia, Florida 34266 Phone: (863) 993-4806 Fax: (863) 491-6163 NOTICE TO ALL: If you are submitting

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