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OMB Number 4040-0004 <br />Expiration Date: 8/31/2016 <br />Application for Federal Assistance SF -424 <br />` 1 Type of Submission: <br />Preapplication <br />® Application <br />Changed/Corrected Application <br />' 2. Type of Application: ` If Revision, select appropriate lefter(s): <br />® New <br />Continuation ' Other (Specify): <br />Revision <br />• 3. Date Received: 4 Applicant Identifier <br />02/22/2016 <br />5a. Federal Entity Identifier <br />5b. Federal Award Identifier <br />State Use Only: <br />6. Date Received by State: <br />7 State Application Identifier <br />8. APPLICANT INFORMATION: <br />' a. Legal Name: Indian River County <br />` b. Employer/Taxpayer Identification Number (EIN/TIN): <br />• c. Organizational DUNS: <br />59-6000674 <br />d. Address: <br />' Streets 1801 27th Street <br />Street2: <br />' City' Vero Beach <br />County/Parish: Indian River <br />• State: <br />Province: <br />FL: Florida <br />'Country' <br />USA: UNITED STATES <br />' Zip / Postal Code: 13 ;^r{} <br />e. Organizational Unit: <br />Department Name: <br />Division Name: <br />Metropolitan Planning Org. <br />Community Development Dept. <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Prefix: ` First Name: <br />Middle Name: <br />Brian <br />` Last Name: Freeman <br />Suffix: <br />Title: Senior Planner <br />Organizational Affiliation: <br />' Telephone Number 772-226-1990 <br />Fax Number, <br />' Email: bfreeman@ircgov com <br />i1'vllt�'iLl� 1) 42 <br />