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INDIAN RIVER COUNTY UTILITY DEPARTMEN <br />=MARI�j <br />® APPLICATION FOR FRANCHISE RATE INCREA <br />A. This application must be completed and three copies provided <br />to the Utility Services Director with an application fee of <br />$500.00.#before a county public hearing can be held. <br />1. Name, AddFess and Telephone number of Applicant: 13051,499-7300 <br />(telephone #) <br />_R1VE%-ALK_ UTILITIES, INC. _ -Riverwalk Shopping Center <br />name of <br />(name of applicant) <br />( project) <br />5150 Linton Blvd., Suite 400 SW Corner US 1 & Roseland <br />street or box street a ress of project <br />Delrav Beach Florida 33445 Roseland, Florida 32957 <br />city, state, zip city, state, zip of project) <br />2. Type of Business: <br />X Corporation Partnership Joint Venture __Ind.Pr_op <br />2a. If corporation, list principle officers, giving name, title, <br />address, telephone number and per cent of stock ownership: <br />President -Secretary - James H. Nobil, 5150 Linton Blvd., Delray Beach, <br />Florida - 508 <br />Chairman -Treasurer - Ivan J. Novick, 5150 Linton Blvd., Delray Beach, <br />Florida 33445 - 50%- <br />2b. If partnership, list partners, giving name, title, address, <br />telephone number and per cent of ounerslip: <br />2c. If joint venture, list principle, giving name, address, telephone <br />number and investment in joint venture: <br />3. Purpose of application- specify whether it is for an increase <br />for a public water system, a public sewerage system, or both; <br />cable television or sanitation services: <br />To establish initial rate schedule for public water and sewer service <br />after installation of water meters <br />B. Rate Packet: <br />I. Schedule of proposed rates & charges(with explanation of terminology) <br />2. Justification( detailed) <br />C. Certificate of 1,000,000 liability insurance co -naming IRC as additiona. <br />insured. <br />Re etfully submitted <br />plus fees for outside consultan t(/V.te: 3_ <br />as rovided for under Ordinance8p41-1gessionaT seivices <br />a <br />I' <br />