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1 <br /> Cont'd from pg 2 . xlleof6 e F " ' <br /> Application Evaluation Review Sheet <br /> Applicant Name : jApplicant #410 ; c.­Brantley �chit'ard drvt.a}. Schirard Cit us , Inc <br /> Address : 1P . O . Box 2667 , Ft. Pierce , FL 34954 <br /> Tract Number(s) : <br /> Field Number(s) : 1 <br /> Date : Revised August 24 , 2004 <br /> 1 ie iWri f . <br /> Land Use/Field : Acres : <br /> Micro-Irrigated Citrus Grove 80 <br /> Best Management Practices Applied For: <br /> Install 1 FBR H2o Control Structure, <br /> Total BMP Costs: 75% Cost Share: Div By Total Eval Points: = Applicant's Score: pplicant Cost: <br /> $7 , 322 $5 ,491 25 219 .65 $ 11830 <br /> ill"4 <br /> Y S a2 s ;. <br /> 11 <br /> ti <br /> (Signature) ate: (Checked By) Docile: <br /> - D <br /> IRSWCD Board Approval Date <br /> OF <br /> /v 7 - o <br /> (Applicdnt Signat re) Date <br /> PAOacyActftaterriel The following AgWents are made in accordance with the Privacy Act of 1974 (5U . S .C. 52 2a). <br /> The authorities for requesting the information to be applied on this form are: 16 U .S.C. 590a-f (Soil and Water Conversation); <br /> 16U .S. C. 3801 et seq . (Food Security Acto of 1985, as ammended), and the regulation promulgated theruder. The information <br /> requested is necessary for the evaluation of an application, development and implementation of a conservation plan as the <br /> basis for satisfying program eligibility and compliance requirements, and for providing technical education , or financialassist- <br /> ance under the previously mentioned authorities. Furnishing this information is voluntary; however, failure to furnish correct, <br /> complete information will result in the withholding or withdrawal of such technical, educational, or financial assistance. This <br /> information may be fumished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or the other <br /> State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal. <br /> IRSWCD <br /> Page 3 (10-26-01 ) <br />