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Class V Permit Application Form Page 1 of 3 (Rev 10/24) 8. WRITTEN CONSENT OF THE PROPERTY OWNER FOR THE PROPOSED WORK LOCATION I/We are the fee simple owner(s) of the real property located at Miami -Dade County, Florida, otherwise identified in the public records of Miami -Dade County as Folio # . I am aware and familiar with the contents of this application for a Miami -Dade County Class V Permit to perform the work on the subject property, as described in the 2 of this application. I hereby consent to the work identified in this Class V Permit application. A. IF THE OWNER IS AN INDIVIDUAL Signature of Owner Signature of Owner Print Owner's Name Print Owner's Name B. IF THE OWNER IS OTHER THAN AN INDIVIDUAL OR NATURAL PERSON (Examples: Corporation, Partnership, Trust, LLC, LLP, etc.) Print Name of Applicant (Enter the complete name as registered) Type (Corp, LLC LLP, etc.) Address of Owner Date Date State of Registration/Incorporation Under the penalty of perjury, I certify that I have the authority to sign this application on behalf of the Owner, to bind the Owner, and if so required to authorize the issuance of a bond on behalf of the Owner. (If asked, you must provide proof of such authority to the Department). Please Note: If additional signatures are required, pursuant to your governing documents, operating agreements, or other applicable agreements or laws, you must attach additional signature pages (ATTACHMENT "A"). Signature of Authorized Representative Print Authorized Representative's Name Title Date Signature of Authorized Representative Print Authorized Representative's Name Title Date Please Review Above Appropriate signature(s) must be included in: Box 7: either A, B or C AND Box 8: either A or B The written consent of the property owner is required for all applications to be considered complete. Your application WILL NOT BE PROCESSED unless the Applicant and Owner Consent (sections 7 and 8) portions of the application are completed. NOTE: THIS APPLICATION SHALL NOT, AT ANY TIME, BE CONSTRUED AS A PERMIT TO PERFORM A DEWATERING ACTIVITY. WHEN PLANS ARE APPROVED, A PERMIT WILL BE ISSUED BY THE WATER CONTROL SECTION. Class V Permit Application Form Page 3 of 7 (Rev 09/24)