Special Land Use Permit Application 

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Instructions

The State Land Department encourages you to contact the Department at (602) 542-1133 prior to submittal of your application. The Department may be able to address questions or concerns regarding the land you wish to lease prior to your expenditure of the non-refundable filing fee. Completion of this application does not in any way obligate the Arizona State Land Department to approve the application.


NON-REFUNDABLE FILING FEE must be submitted with your application. 

Authorizations

It is the responsibility of the Applicant to obtain all authorization(s) necessary to initiate or continue the proposed use on the subject land. Failure to do so may result in cancellation of the permit. Applicant must adhere to all local zoning codes. It is the responsibility of the Applicant to check with the local jurisdiction for compliance requirements.

Improvements

  • Construction of permanent improvements is prohibited. Only temporary removable improvements may be placed on the subject land and only with prior written approval of the Department.
  • An Application to Place Improvements must be submitted and approved prior to placement.
  • Improvements must be removed and the land restored to its original condition at the cancellation, expiration or abandonment of the permit.
  • Signs do not require an Application to Place Improvement.

Natural Products

This application cannot be used for the collection of natural products. Removal of natural products from Trust lands must be by sale at public auction, after advertising and appraisal.

Assistance

Contact one of the following Sections for technical assistance, if required:

  • Agriculture: (602) 542-2698
  • Apiary: (602) 542-2698
  • Commercial: (602) 542-3000
  • Communication: (602) 542-3000
  • Government: (602) 542-3000
  • Grazing: (602) 542-2694
  • Homesite: (602) 542-3000
  • Minerals: (602) 542-2592
  • Recreation: (602) 542-3000
  • Right-of-Way: (602) 542-4098
  • Signs: (602) 542-3000
  • Water: (602) 542-2592
  • Wind Energy Studies: (602) 542-4098

Applicant

Company Information






Contact Information









Application Details





year(s)
Please enter a number without decimals or spaces


Current lease number









Note: You will need to apply for a Right of Way to access this permit across adjoining State Trust land.










Grazing

Unless disclosed no credit shall be given to the applicant for any claimed grazing use of private or federal lands within the ranch unit.


Federal Allotment










You must provide a registered brand; failure to do so will cause your application to be returned. The name(s) on the certificate must match the applicants name(s). Once a registered brand has been obtained, a copy of it must be uploaded with the application.



















Note: In the case of a Special Land Use Permit, new improvements must be temporary and are non-reimbursable


Note: Approval of this application does not constitute approval of any improvements. An Application to Place Improvements must be submitted to the Department after a lease is obtained and prior to construction of the improvement(s). Pursuant to A.R.S. § 37-321, lessee is not entitled to reimbursement for improvements that have not been authorized by prior written approval from the Department.



Commercial








Note: Obtaining utility service and any necessary rights of way for such service is the responsibility of the Permittee.


$

$

%










What is the ASLD lease or right of way number for the existing pole or tower site?




You must submit a sublease application prior to submittal of this application.








NOTE: Owner information will need to be clearly posted at the point of egress or on structure or tower.

Apiary



Sign or Advertising Display



Note: Obtaining power is the responsibility of the Applicant.

 

What are the dimensions of the sign?

 X

Fees: Minimum sign permit fees vary. For information, contact the Sales & Commercial Leasing Section at (602) 542-3000.


Please provide the GPS coordinates for the sign:














Permittee must adhere to all local zoning codes and acquire permits from local entities before construction begins. It is the responsibility of the Applicant to check with local jurisdiction for compliance requirements.

Competitive & Commercial Recreation Permit






The Department requires that applicants upload a centerline GPS track of the trail(s). The cost of this survey is borne by the applicant.

GPS Guidelines

  • Identify a Section Corner within the surveyed area, and document the type of monument found (brass cap, reinforced rod, fence post, etc.)
  • Record a continuous GPS track with points along the trail centerline, upon entering and exiting STL, entering and exiting each subsequent section, and at least every 0.01 mile (~52 ft) in between
  • Document trail width, length, and condition
  • Upload a GIS Shape File, GPS track log, or another electronic record of the completed GPS line

Environmental Disclosure Questionnaire

If you have questions regarding this questionnaire, please contact the State Land Department, Environmental Section at (602) 542-2119. 


Please indicate below the type(s) of potential environmental impacts from your current or proposed use:


























































I/We HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE INFORMATION AND STATEMENTS CONTAINED HEREIN, TOGETHER WITH ALL EXHIBITS AND ATTACHMENTS ARE TRUE, CORRECT AND COMPLETE AND THAT I/WE HAVE AUTHORITY TO E-SIGN THIS APPLICATION/DOCUMENT.

If you proceed, you are agreeing to complete the application process electronically. By typing your name(s) below and clicking on “I/We Agree” below, you acknowledge and agree to all of the following:

I/We ACKNOWLEDGE AND AGREE that the individual/corporation/business entity completing this application for use of State Trust land is the individual/corporation/business entity in whose name this application is being filed and the person whose electronic signature appears below is authorized to execute and file this application on behalf of the named applicant.

I/We ACKNOWLEDGE AND AGREE that in the event that any person known to me (whether it be a family member, member of my household, partner, or otherwise) knowingly affixes signature(s) fraudulently, the Arizona State Land Department shall not be liable to the person or business entity in whose name this application has been filed for any lack of authority to execute this application on behalf of the named applicant.

I/We ACKNOWLEDGE AND AGREE that my electronic signature is the equivalent of a manual signature and that the Arizona State Land Department may rely on it as such in connection with any and all agreements I/We may enter into with the Arizona State Land Department, and any documents I/We electronically sign for the Arizona State Land Department.

I/We ACKNOWLEDGE AND AGREE that the Arizona State Land Department will rely upon my/our electronic signature(s) to the same extent as if I/We had signed this document in ink. Your responses to all questions throughout the electronic process will be recorded and made part of your electronically signed application.

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