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f / <br /> Cont'd from pg 2 . <br /> Application Evaluation Review Sheet <br /> Applicant Name : Appl . #2 , Coleman Davis <br /> Address : 13460 Buchinghammock Trail , Vero Beach , FI , 32960 <br /> Tract Number(s) : <br /> Field Number(s) : 11 <br /> Date : 1 12/2/02 <br /> Land Use/Fields Acres .• <br /> Micro-Irrigated Citrus Grove 38 <br /> Best Management Practices Applied For: <br /> 1 . Installation of Micro-Irregation System . <br /> Total BMP Costs: 26% Cost Share: Div By Total Eval Points: = A icant's Score: Applicant Cost: <br /> $ 17 , 584 $4 , 396 38 115 .69 $132188 . <br /> y s <br /> � • :Ret`t'tr�arrrts. } J �S'� SL sai\ <br /> (Signature) Date: ( hacked By) ate: <br /> IRSWCD Board Approval Date <br /> (Applicant Signature) Date <br /> Privacy Act Statement: The following statements are made in accordance with the Privacy Act of 1974 (SU .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 fumish 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 />