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• <br />f <br />40 <br />SJRWMD Alternative Water Supplies Construction Cost Sharing Application form 2000-2001 <br />4. SJRWMD Permit Information. <br />Does the applicant have any SJRWMD permits? Yes r-0_ No <br />If yes, list all SJRWMD consumptive use porniits held by the applicant AND any surface; water <br />man-.%emcnt or environmental resource permits pertaining to the project. Attach an additional page <br />behind this page if needed. <br />Permit Number Expiration Date Penn it Number Expiration Date <br />2-161-0106NGN1211 12-31-98 _(*) <br />* - Renewal Pennit Anticipated Issuance Date Janumy 2001) <br />5. Other Permit Information. List all types of permits required to construct the proposed project and <br />provide the status of efforts to obtain each permit. <br />Tvnc of Permit Issuing Agency P Have, Permit Applied_ Not Applied <br />Utility Construction F.D.E.P. _ rr <br />Rini gh� Indian River County is f <br />Utility Construction_ Indian River Count} >! <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 associated with [iris project or wrlh <br />any party that may profit financially form this project'? Yes No --W-- <br />If <br />i!.___If yes, identify all such parties and describe their interests. <br />Page A - 2 <br />,xsa�xrv�naxV.�.ru�Rfly.,�t+oarx�mHwna-i+iy rL.w,.-.sre.s�e....i•,sq hn...e.rwr.s�M,�t.,�.an+.amnws.,au.wn•w�.. e,,,�, Ny�a�. ws.f„*�aR. nc, <br />