2. Suwannee River Water Management District

   Request for License or Easement Across District Lands

4. Any person or entity requesting a license or easement across Suwannee River Water Management District (the "District") lands will complete this form and provide the following information. Providing the requested information below to District staff does not imply or guarantee that a license or easement will be granted by the District. The grant of an easement requires approval by the District's Governing Board. 

6. APPLICANT INFORMATION
8. First Name*
9. Last Name*
10. Phone*
11. Email*
13. Mailing Address*
15. City*
16. State*
17. Zip*
19. Request Type:

    1. Access License - Allows holder to access their property but will not allow them to install utilities or other improvements along the access route; is revocable at any time.
    2. Access Easement
    3. Utility Easement
    4. Access and Utility Easement
21. BENEFITING PROPERTY INFORMATION
23. Parcel Number(s)
24. County
26. General Location/Address
28. DISTRICT PROPERTY INFORMATION
30. Parcel Number(s)
31. County
33. ROUTE INFORMATION
35. Description of Requested Route
37. Width
38. Length
40. Explanation of Need and Exhaustion of All Other Routes
42. Is the proposed license or easement located within an existing utility right-of-way easement, along a District boundary, or within an existing fireline or roadway?

    1. Yes
    2. No
43. If no, explain.
45. Does the proposed license or easement fragment wetland or other functioning habitat?

    1. Yes
    2. No
46. If yes, explain.
48. Additional Documentation

    The following documents should be included to consider the request. 

    • Map or aerial photograph showing the proposed route and an outline of the property to benefit from the license or easement. 
    • Copy of the deed for the property to be benefited by the license or easement or a copy of the Purchase and Sale Agreement if the parcel is under contract for purchase.
50. Map Attachment Submittal
51. Deed/Agreement Attachment Submittal
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field