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Cont'd from pg 2 . r ' <br /> CXh � 6 0 r 7B <br /> Application Evaluation Review Sheet <br /> Applicant Name : App . #325 , Belair Groves , Joint Venture , Gracewood Inc. <br /> Address : P . O . Box 370 , Vero Beach , FL 32961 <br /> Tract Number(s) : 1 <br /> Field Number(s ) : 43-44 , 63-649 54 <br /> Date : Nov . 6 , 2003 <br /> VI . Review Summary * <br /> Land Use/Field : Acres : <br /> Micro-Irrigated Citrus Grove 489 <br /> Best Management Practices Applied For: <br /> 2. Install 3 FBR H2o Control Structure. <br /> Total BMP Costs : 75% Cost Share: Div By Total Eval Points : = Applicant's Score: Applicant Cost: <br /> $ 16 , 044 . 00 $ 127033 75 160 . 44 $4 , 011 . 00 <br /> VII. Remarks: <br /> V111. Designatecl COnOrvationist, <br /> (Signature) Date (Checlked By) Date: <br /> If WCD BoarjW Approval Date <br /> 03 <br /> (Applicant Signature) Date <br /> Priv cy Act Statement: The following statements are made in accordance with the Privacy Act of 1974 (5U .S .C . 522a) . <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 financial assist- <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 furnished 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 />