Natural Lands Site Use Representative InformationNameAddressStreet AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeOrganizationEmailPhoneEmergency Contact InformationNamePhoneStart Date:Start Date End Date:End Date Please list the number of involved:StudentsFacultyStaffOtherBriefly describe the activity you would like to conduct in the managed lands on campus:Vehicle(s) used (State Vehicles Only):QuantityTypesAll Dates and Hours of Activity:Where will your activity be conducted? (See Map)UntitledMcKay TractNorth West ParcelRiparian AreaNatural AreaPond PineEast ParcelAre there any special accommodations you will need in order to conduct your activity in the UCF natural lands?Reminder: The permit that will be issued after reviewing this application will only allow work to be conducted that has been listed in your application. Therefore, it is important to note as many details as possible. Any changes or alterations to your project must be communicated with our staff 2-3 weeks prior to making the changes in order to determine if a new application must be submitted. Thank you for your cooperation in preserving the integrity of our managed lands.By signing below, I acknowledge that I have read and will abide to the general use rules and permitting policy.Signature (Type)Date NameThis field is for validation purposes and should be left unchanged.