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ru <br /> INDIAN RIVER FARMS WATER CONTROL =` i �� <br /> PICC " <br /> 4400 20th Street <br /> Vero Beach, Florida 32960 APP, 2 8 2008 <br /> (772) 562-2141 <br /> INDIAN p1 'vEl`-i COUNTY - <br /> ENGINs =- E: "R asa. I-A, <br /> APPLICATION FOR CONNECTION TO OR USE OF Dj§M%j-CT.FACII T <br /> Date : 1 /24/08 No. <br /> A. Applicant Information: Name : Indian River County <br /> Address : 1801 27th Stred <br /> Vero Bench, Florida 32960 <br /> Authorized Agent and Title : Michael J. Meuina, Prodlect Desimer <br /> Telephone Number: (772) 226-1281 <br /> B: Proposed Connection or Use: (check appropriate box or boxes) NON-REFUNDABLE <br /> ® Culvert connection to District canal for irrigation or drainage $ 100.00 <br /> ❑ Pump connection to District canal for irrigation or drainage $300.00 <br /> ❑ Culvert and/or control structure in District canal for crossing <br /> and/or water storage $200 .00 <br /> ❑ Other (specify) $ 100 .00 <br /> C. Location : Tract 15 Section 15 , Township 33 , Range �4 Canal No. Conch <br /> Other appropriate description : <br /> Property I.D . Parcel No . : <br /> Attach drawing to show. details (include acreage to be served) . <br /> D. Details of proposed Construction : (Give diameter and length of culvert; diameter and rated capacity <br /> of pump ; height and width of riser or other details on water control structure. ) <br /> Paving & DrainaW tto 1st Road frim 35th Avenue to 32nd Avenue in Vero Beach Hmmites S/D Irtprovemts <br /> E. Special Conditions: (for District use only) <br /> Sc�E A-'iTA c f LD L / S7" ©fir J,PetC14 L �f0N0 c;r70e3 <br /> F. Estimated Date of Construction Commencement: June 200B <br /> Estimated Date of Construction Completion: atm►" 2008 <br /> G. As the Applicant for permit, I do understand and agree that: <br /> 1 . The use of, or construction within, the right-of-way of the Indian River Farms Water Control District <br /> will be in accordance with the details of the approved sketch and/or permit conditions shown hereon, <br /> supporting this application; and if any changes are required, same will be cleared with the District. <br /> (Continued on Reverse hereof) <br /> Signed: '/%%4 1'jg= Date Z9 o S <br /> Applicant <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - <br /> (Fnr District se Only) <br /> Application approved by : <br /> fo the an River Far r Control District <br /> Application approved by : <br /> or Carter Associates , Inc. , Engineer foi District <br /> 4k 0000 <br /> Date of approval : <br /> Expiration Date of this approved application: <br /> PERMISSION, WHEN GRANTED , WILL BE SUBJECT TO THE STANDARD PROVISOS. <br /> SET FORTH ON THE REVERSE HEREOF. <br />