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r <br /> Cont'd from pg 2 . <br /> Application Evaluation Review Sheet <br /> Applicant Name : App . #1 , Whiteface Acres <br /> Address: 4150 11 Place S .W. Vero Beach , Fl . 32978 <br /> Tract Number(s) : <br /> Field Number(s) : 4-Jan <br /> Date : Nov . 16 , 2002 <br /> �.andeUse/Fi Use/Field : Acres : <br /> Micro-Irrigated Citrus Grove 60 <br /> Best Management Practices Applied For: <br /> 1 • 8 ite [Nater Dpten ion / Reten inn <br /> it- inn <br /> TotaEBMP Costs: 70% Cost Share : Div By Total Eval Points : J] Applicant's Score: Applicant Cost: <br /> 8Cost $6 , 122 100 61 . 22 <br /> VII. 'remarks : <br /> Vlll'. Deifinated"Donto»yvationiswt: <br /> (Signature) Date: (Checked By) Date: <br /> IRS D Board oval Date <br /> (Ap`pTcant Signature) Date <br /> Privacy Act Statement: The following statements are made in accordance with the Privacy Act of 1974 (5U .S .C . 522a) . <br /> The authorities for requesting the information to be applied on this form are: 16 U .S .C . 590a-f (Soil and Water Conversation) ; <br /> 16U .S .C . 3801 et seq . (Food Security Acto of 1985 , as ammended) , and the regulation promulgated theruder. The information <br /> requested is necessary for the evaluation of an application , development and implementation of a conservation plan as the <br /> basis for satisfying program eligibility and compliance requirements , and for providing technical education , or financial assist- <br /> ance under the previously mentioned authorities . Furnishing this information is voluntary; however, failure to furnish correct, <br /> complete information will result in the withholding or withdrawal of such technical, educational , or financial assistance . This <br /> information may be furnished to other USDA agencies , the Internal Revenue Service, the Department of Justice, or the other <br /> State or Federal law enforcement agencies , or in response to orders of a court, magistrate , or administrative tribunal . <br /> IRSWCD <br /> Page 3 ( 10-26-01 ) <br />