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f �X�ii3 iT i3 Cont'd from pg 2 . Application Evaluation Review Sheet Applicant Name : Appl . # 46 , Kerr Center for Sustainable Agriculture , Inc. Address : 7055 33 Street , Vero Beach , FI . 32966 Tract Number(s) : Field Number(s) : Date : Nov . 16 , 2002 Via Review Summd#r. Land Use/Field : Acres : Micro-Irrigated Citrus Grove 4 Best Management Practices Applied For: 6. Aquatic Weed Barrier> Total BMP Costs : 75% Cost Share: j Div By Total Eval Points : = Applicant's Score: Applicant Cost: $843 . $632 . - 10 63 . 24 $21 f VIL envarks • _ Villa -00sidnat9d C6nsefVatidbist: 14 40t4e> 0� 4e: l 116102 « //30/ (Signature) D e: (Checked By) mrm �Date: 1�13 --O SWCD Board Appro I Date 22 (Applicant Signature) Date Privacy Act Statement: The following statements are made in accordance with the Privacy Act of 1974 (5U .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 Conversation) ; 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 plan as the basis for satisfying program eligibility and compliance requirements , and for providing technical education , or financial assist- ance under the previously mentioned authorities . Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical, educational, or financial assistance. 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 )