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I <br />f <br />U.S. DEPARTMENT OF AGRICULTURE <br />1. Sfote Clearinghouse Identifier <br />APPLICATION FOR FEDERAL ASSISTANCE <br />77-1372 <br />2. Applicant's Application No. <br />(FOR CONSTRUCTION PROGRAMS) <br />PART 1 <br />2 <br />3. Federal Grantor Agency <br />4. Applicant Nome ' <br />V.,.....,a_,.,, Rnme dman; stration <br />Indian River County, Florida <br />_ <br />Orgenisetional Unit <br />Deportment Division It <br />COunty Courthouse, Room 115 <br />Street Address — P.O. Box <br />want <br />mintatre iw Offiee <br />Tree Office Park Building <br />Pepper <br />3953 South U. S. Highway 1 <br />Nero Beach Indian River <br />Street Address — P.O. Bos <br />City County <br />Vt Florida_3-345Q <br />Florida 32960 <br />Stare Zip Code <br />-PipTrP, <br />City Spate Zip Cods <br />S. Descriptive Noor of the Project <br />Construction of County Water and Sewer Facility <br />6. Federal Catalog No. <br />7. Federal Funding Requested <br />$ 427,500 <br />0.418 <br />B. Cwenpes Type <br />State. County, City, Other (Specify) <br />9. Type of Application or Request <br />XX New Grant, Continuation, Supplaeo-t. Other Chm.ges (Specify) <br />10. Type of Assistance <br />Grant Lou.. Other (Spe..ify) <br />11. Pepulotion Directly Benefiting from the Proiect <br />13. Length of Project <br />Initially <br />,000 <br />12 months <br />12. Congressional District <br />14. Beginning out. <br />11/77 <br />a. 10th <br />6. <br />15. Date of Application <br />9-13-77 <br />Th. Ppl Icont certifies that to the best of his knowfedge mrd belief the data in this application are true and correct, and that he will comply <br />with the attached es -ranee. if he receives the grant - <br />Typed nerve <br />Title <br />Telephone Number <br />William C. Wodtke, Jr. <br />Chairman <br />AREA CSC <br />NUMBER <br />EXT. <br />Sfgnof of Authorised Representative <br />305 <br />567-8647 <br />Far Federal Use Only <br />SEP 131977 ' <br />FORM AD 624 (12-72) PAGE 1 <br />800K 14 <br />101 PAGE <br />