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C> <br />40 <br />SJRWMD Alternative Water Supplies Construction Cost Sharing Application Force 2000-200 l <br />4. SJRWMD Permit Information. <br />Does the applicant have. any SJRWMD ;permits? Yes W No <br />If yes, list all SJRWMD consumptive use penmits held by the applicant AND any surface; water <br />management or environmental resource permits pertaining to the project. Attach an additional page <br />behind this page if needed. <br />Permit NarnberEYniratinn DJntc permit Number_ Expiration Date <br />2-461-0106NG^M2R_ 12-31-98 (*') <br />(* - Renewal Permit Anticipated Issuance Date January 20U1) <br />5, tither Permit Information. <br />List all types of permits required to constrict the: proposed project and <br />provide the status of efforts to obtain each permit. <br />Type Uf PCirnit <br />l'5511Fng Aj-wncy I"IaVC, pCnillt A[lp&gd Not Applied <br />U,tilijy Construction <br />FIXER � <br />Right of Way <br />Indian River County <br />Utility Construction <br />Indian Rivcr_CQuntyY _ <br />6. Disclosure. Does any SJRWMD employee, Governing Board member, contractor or other affiliate of <br />the applicant have a financial interest in this project, the property wocialud with this project or with <br />any party that may profit financially fore this project? Yes No !• <br />If yes, identify all such parties and describe their interests. <br />Page A - 2 <br />. k Ni61RLtiJ11119.0`lh¢tin ITt lJi Y'.k]10L4531CLti'lln;swfi .1 Nis, l'+w4sN 11mab'hlart Frit l'nrry x[Mw.aw W 3aF,i, 41.n.NrtFa sF.,�Fa{QI AJ,a A1MwAs wrw S�,k, x}F4.pa Nolle sw W 14 <br />RR.... war La <br />