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Cont'd from pg 2 . <br /> Application Evaluation Review Sheet <br /> Applicant Name : Appl . #24 , 25 ; I M G tiuus ,4reepAt ES <br /> Address : 7836 Cherry Lake Rd . Groveland , FI . 34736 <br /> Tract Number(s) . <br /> Field Number(s) : All in IMG Indian River County Groves <br /> Date : Nov . 16 , 2002 <br /> V1 :�teviewStaimtlla : <br /> Land Use/Field : Acres : <br /> Micro-Irrigated Citrus Grove 3 O <br /> Best Management Practices Applied For: <br /> 3, Precision Application Equipment <br /> Total BMP Costs : 60% Cost Share: Div by Total Eval Points: Div by Acres, times 100 <br /> = Applicant Score Applicant Cost: <br /> $211775" $ 13 , 065' 20 17 P $ 8 , 7 0 <br /> VII. rRentarkm <br /> Vill: ,Vesi hated Conservationist: <br /> W Ile <br /> (Signature) Date: (Checked By) Date: <br /> ,,0 Az? _Z9 / <br /> lz, 3 `O 3 <br /> IR WCD Board Approval Date <br /> (Applicant Signature) Q6te <br /> Privacy 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 />