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�� P� De artment of `� �� <br /> Fra Environmental Protection <br /> Twin Towers Office Building <br /> Jeb Bush 2600 Blair Stone Road David B. Struhs <br /> Governor Tallahassee, Florida 32399-2400 Secretary <br /> RE GRANT APPLICATION <br /> SOLID WASTE TI <br /> I . Name of Applicant: INDIAN RIVER COUNTY SOLID WASTE DISPOSAL DISTRICT <br /> 2 . Address of Applicant: 184025th STREET <br /> VERO BEACH FL 32960 <br /> 3 . Federal Employer Identification Number: 59 - 6000674 <br /> 4 . Telephone Number for Applicant: (_772 ) 770 , 117 <br /> 5 . List of Counties Included in the Application: INDIAN RIVER <br /> 6 . Contact Person (person handling program on daily basis): POLLy KRATMAN <br /> 7 . Address of Contact Person: 1325 74th AVENUE SW , VERO BEACH FL 32968 <br /> 8 . Telephone Number of Contact Person: ( 772 ) 770 - 5112 <br /> 9 . Name and Title of Authorized Representative : <br /> Name : POLLY KRATMAN <br /> Title : MANAGING DIRECTOR <br /> 10. Purpose for which grant money is requested. (Indicate by checkmarks) : Rule 62-716 .620 <br /> a. Construction of waste tire processing facility: _ g. Research to facilitate waste tire recycling: _ <br /> b. Operation of waste tire processing facility: X h. Establishing waste tire collection centers _ <br /> c. Contract for waste tire facility service : X i . Incentives for establishing private waste <br /> d. Equipment for waste tire processing facility: _ tire collection centers : _ <br /> e . Removal of waste tires : X j . Perform or contract for enforcement <br /> f. Contract for removal of waste tires : X activities : <br /> 11 . This application is due by July 1 of each year. k. Purchase materials made from waste tires : X- <br /> 12 . E-MAIL Address : PKRATMAN@IRCGOV . COM <br /> I CERTIFY that I am familiar with the information contained in this application, and that to the best of my <br /> knowledge and belief such information is true, complete and accurate. I further certify that I possess the authority to <br /> apply for this grant on behalf of this county. <br /> Priv �.S U. <br /> Si ure of t ori <br /> ----- zed Representative <br /> Date <br /> Please return form to: <br /> Department of Environmental Protection <br /> Solid Waste Section *Mail Station # 4565 * 2600 Blair Stone Road <br /> Tallahassee, Florida 32399-2400 <br /> 5/03 -FY03 -04 <br /> Printed on recycled paper. <br />