Land Acquisition Application

							                                              Land Acquisition Application
Section 373.139 F.S., authorizes the St Johns River Water Management District (“District”) to acquire property rights necessary for water
resource protection. If a parcel fulfills any of the requirements, the District may consider it for inclusion in its land acquisition plan. To aid in
evaluating the proposal, please provide the information requested below.
Return this form and attachments the address listed above or email to: RealEstateServices@sjrwmd.com
1. Applicant Information
Applicant Name:
Address:
City:                                                                                   State:             Zip:
Phone:                                        Fax:                                      Email:

Applicant Signature:                                                                Date:
2. Owner of Record (Owner is Applicant Yes No                        )       3. Owner’s Authorized Representative
Name:                                                                        Name:
Address:                                                                     Address:
City:                  State:            Zip:                                City:               State:      Zip:
Phone:                 Fax:                                                  Phone:              Fax:
Email:                                                                       Email:
4. Owner’s Authorization
To the Governing Board of the St. Johns River Water Management District:
This is to advise that the individual named above is the Authorized Representative of the owner(s) of the property
described below. This authorization is for any communication and negotiations concerning conveyance of the
property to the St. Johns River Water Management District.

Owner Signature:                                                                                   Date:

Owner Signature:                                                                  Date:
5. Property/Project Information – Required Information
Asking Price:                                                       County:
General Location (address, intersection ,etc,):
Acreage:                                            Section/Township/Range:
Tax Parcel Number(s)
Future Land Use (If known)                                       Zoning (If known)
6. Property Description (Describe the property’s ecological significance and natural resources )
       _______________________________________________________________________________
        ______________________________________________________________________________
7. Encumbrances (List any liens, leases or other encumbrances )
       _______________________________________________________________________________
       _______________________________________________________________________________
Optional: In addition to this form, the following supplemental information may be attached to assist in
the evaluation of the property.
     Location map                                                    Tax Parcel Cards
     Survey or Sketch                                                Deed
     Legal description                                               Other pertinent information
                                   Please Do Not Write Below this Line, for District Use Only

    Date Received:__________________                    Received By:_____________________                     Reg. Basin:_____________________