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r Cont'd from pg 2. E' Xhi bit Application Evaluation Review Sheet Applicant Name : Applicant #520 ; Robert J . Lindsey { Address : 16585 12 Street, Vero Beach , FL 32966 Tract Number(s) : ! Hunt , Hunt 3 , Ames 3 , Carson Woods , Bowens. Field Number( s) : ! 1 Date : { July 9 , 20041 1 VI. Review Summary: Land Use/Field : Acres . Micro-Irrigated Citrus Grove 252 Best Management Practices Applied For: i Install 6 FBR H2o Control Structures. i Total BMP Costs: 76% Cost Share: Div By Total Eval Points: Applicant's Score: Applicant Cost: $34 ,3421 $25 ,7571 150 1 171 . 71 ! $8 , 586 VII. Remarks* Vlll, Designateo Cpps fnTtionist: I / IA Sign ture) Date (Checked By) I Date: � I D oval Dale (AP re) e Pi acy Act S t: The following statements are made in accordance with the Privficy Act of 1974 (SU .S _C 522a). I . ITiieauthoritiesfoV!questing the information to be applied on this form are: 16 U . S .C . 590a-f (Soil and Water Cor iversation) ; 16U . S. C . 3801 et seq. (Food Security Acto of 1985, as ammended), and the regulation promulgated theruder. The information requested is necessary for the evaluation of an application, development and implementation of a conservation p as the basis for satisfying program eligibility and compliance requirements,- and for proving technical education, or finan Nial assist- ance under the previously mw tic ned authorities. Furnishing this information is voluntary; however, faikrre to furrit'sn correct, complete information will result in the withholding or withdrawal of such technical, educational, or financial assistanoe. This information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or the other State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal. IRSWCD Page 3 ( 10-26-01 )