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2. Nonprofit Fee Waiver
4. Board of County Commissioners
   Development Services Department
   Planning Services Division
   7375 Powell Rd, Ste 115, Wildwood, FL 34785 Phone: (352) 689-4400 Fax: (352) 689-4401
   Website: http://sumtercountyfl.gov
6. Name of Organization:*
8. Date*
   Date
10. Date:*
12. The undersigned hereby requests a fee waiver according to Board of County Commissioners of Sumter County Resolution 2016--55:
14. We will only utilize the property for our own operations (as opposed to those of a tenant) for three (3) years, any sale of the property being prohibited for that period without payment of the fees waived.
16. By typing your name below the applicant is attesting to his/her identity.
18. Authorized Agent/Principal Officer: Name and Title
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19. 1. Receive an email copy of this form.
20. Email address

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