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F - <br />DER Form 17-716.900(1) <br />abcM <br />Florida Department of Environmental Regulation <br />Tbvin Towers Office Bldg. • 2600 Blair Stone Road • Tallahassee~ Florida 32399-2400 <br />Lawton Chiles, Governor Carol M. Browner, Secretary <br />Solid Waste Recycling and Education Grant Application <br />Part One <br />1. Name of Applicant: Indian River . County <br />2. Address of Applicant: 1840 25th Street <br />Vero Beach, FE JZ9bU <br />3. Federal Employer Identification Number. 59-6000674 <br />4. Telephone Number of Applicant: ( 407 ) 567-8000 <br />5. List of Counties andM,ynicipalitles Incjud d in jli� A plicatio�: <br />Indian River ounty and the litfes o : Vero Beach, Sebastian, Fellsmere, <br />own of Indian River Shores and the Town ol Urchid. <br />6. C%aacVehsp �png on handling program on daily basis): <br />7. Address of Contact Person: <br />Solid Waste Disposal District <br />1840 2.5tt! Street <br />Vero Beach. FL 32960 <br />8. Telephone Number of Contact Person: ( 4071 567-8000 EXT. 394 <br />9. Name and Title of Authorized Representative: <br />Name Richard N. Bird <br />10. Required Attachments (Due July 1 of each year): <br />X A copy of any interlocal agreement entered into between local governments to accomplish the purposes of this rule. <br />Rule 17-716.410(1) <br />I CERTIFY that I am familiar with the information contained in this application, and that to the best of my knowledge and belief such <br />information is true, complete and accurate. I further certify that I possess the authority to apply for this grant on behalf of this local <br />government. <br />Signature of Authorized Representative Date <br />Richard N. Biard, Chairman <br />Board of County Commissioners please return form to: <br />Department of Environmental Regulation <br />Bureau of Waste Planning and Regulation <br />Solid Waste Section <br />2600 Blair Stone Road <br />Tallahassee, Florida 32399-2400 <br />Page 1 of 1 <br />JUN it 1991 <br />Indian fliver Go. <br />Approved <br />Admin. <br />Legal <br />Budgr-{ <br />Utilities <br />� - f <br />�'I � <br />Risk Mgr. <br />POOK V� Frgi�t��t.� <br />