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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 />' 2. Type <br />New <br />Continuation <br />Revision <br />of Application: ' If Revision, select appropriate letter(s): <br />Application <br />' Other (Specify): <br />Changed/Corrected <br />* 3. Date Received: 4. Applicant Identifier: <br />03/15/2015 <br />5a. Federal Entity Identifier: <br />5b. Federal Award Identifier: <br />State Use Only: <br />6. Date Received by <br />7. State Application Identifier: <br />State: <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 />` Street/: <br />Street2: <br />* City: <br />County/Parish: <br />*State: <br />Province: <br />`Country: <br />* Zip / Postal Code: <br />1801 27th Street <br />Vero Beach <br />Indian River <br />FL: Florida <br />USA: UNITED STATES <br />e. Organizational Unit: <br />Department Name: <br />Division Name: <br />Community Development Dept. <br />Metropolitan Planning Org. <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Prefix: <br />` First Name: Brian <br />Middle Name: <br />* Last Name: Freeman <br />Suffix: <br />Title: Senior Planner <br />Organizational Affiliation: <br />' Telephone Number: <br />772-226-1990 Fax Number: <br />'Email: bfreeman@ircgov.com <br />i*`t It vl' Vii.+L { 2 18 <br />