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Cont'd from pg 2. - � � + b , lam. Application Evaluation Review Sheet Applicant Name: Applicant #416; Premier Citrus Address : i 1970 122 Ave , Vero Beach , FL 32966 Tract Number(s) : i Section 21 Field Number(s) All Date : July 9, 20041 Vt. Review Summary : Land Use/Fields Acres : Micro4rrigated Citrus Grove 614 Best Management Practices Applied For: Install 14 FBR H2o Control Structures. i Total BMP Costs: 76% Cost Share. Div By Total Eval Poirrts: = Applicant's Score: Applicant Cost: $667588 ': $49 ,941 350 142.69 i $16 ,647 VII. Remarks: V^ Designated rvationist: L' 716160 {Signatu ) . Dat . (Checked By) Dater T IRSWqV Board Apoval Date f :j -�20 -&' (Applicant Signature) 4 Date P rvacy Act Statement; The wing statements are made in accordance with the Privacy Act of 1974 (SU .S .C . 522a) . The authorities for requesting the information to be applied on this form are: 16 U . S.C . 590a-f (Soil and Water Coff mrsation) ; 16U .S.C. 3801 et S". (Food Security Ado of 1985, as ammended), and the regulation prorfiuigated theruder. The i - orination requested is necessary for the evaluation of an application, development and implementation of a conservation plan as the basis for satisfying program eligibility and compliance requirements, and for providing technical education, or firvanc alassist- . .. .- ance under the previously mentioned authorities. Furnishing this information is voluntary; however, failure to fumist wrrect, complete information will result in the withholding or withdrawal of such technical, educatlonal, or financial assistance. This information may be fumished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or the otter State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribuna . IRSWCD Page 3 ( 10-26-01 )