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INDIAN RIVER FARMS WATER CONTROL <br />4400 20th Street <br />Vero Beach, Florida 32960 <br />(772)562-2141 <br />Date: 1/24/08 <br />QDP I- '�V ru 0 <br />APP, 2 8 2008 <br />INDIAN pti''UEl`-1 COUNTY <br />ENGENEErR I asa. [.)'VISION <br />A. Applicant Information: Name: Indian River County <br />Address: 1801 27th Stred <br />Vero Beach. Florida 32960 <br />Authorized Agent and Title: Michael J. Mezzina, Wlect Dasicner <br />Telephone Number: (772) 226-1281 <br />No. 68 -b <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 }.A 1st Road frim 35th Avenue to 32nd Avenue in Vero Beach Hmmites S/D Irprovemmts <br />E. Special Conditions: (for District use only) <br />�S EE /+iTA c f LD L / S7" ©lc' %5R45CI4 L �f0N0 4;r7O+3 <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 />Signed: <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 />t�YYai�aun <br />Application approved by: <br />Application approved by: <br />Date 1 ZZ. 4 o S <br />— <br />—(FgrDygtrictVseOnly)----------------- <br />Date of approval: w;4- z7-�4> 8 <br />Expiration Date of this approved application: 2-Z~ O `Y <br />Control District <br />Carter Associates, Inc., Engineei f& District <br />PERMISSION, WHEN GRANTED, WILL BE SUBJECT TO THE STANDARD PROVISOS. <br />SET FORTH ON THE REVERSE HEREOF. <br />