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SJRWMD Alternative Water Supply Construction Cost-Sharing Application Form FY 2002-2003 <br /> 4. SJRWMD Permit Information. <br /> Does the applicant have any SJRWMD permits ? Yes W No <br /> If yes, list all SJRWMD consumptive use permits held by the applicant AND any surface water <br /> management or environmental resource permits pertaining to the project. Attach an additional page <br /> behind this page if needed. <br /> Permit Number Expiration Date Permit Number Expiration Date <br /> 10524 12-31 -2020 <br /> 5. Other Permit Information. List all types of permits required to construct the proposed project and <br /> provide the status of efforts to obtain each permit. <br /> Type of Permit Issuing Agency Have Permit Applied Not Applied <br /> Utility Construction F . D. E.P . ✓ <br /> Right. of Way Indian River County ✓ <br /> Utility Construction Indian River Count ✓ <br /> 6. Disclosure. Does any SJRWMD employee, Goveming Board member, contractor or any other affiliate <br /> of the applicant have a financial interest in this project, the property associated with this project or with <br /> any party that may profit financially form this project? Yes No ✓ <br /> If yes, identify all such parties and describe their interests . <br /> Page A - 2 <br /> F:\uti"ftxV B.nY - ENGWFER NaTfoja4 - utility Contr�oe Pan, " URC - 20031MVIM AttKin ivo Wines Soppl3 Grant App\1t Johns Alturoad o Wow Soypl7 Applia4oa-13riw to NoM <br />Rdin(CmlAx <br />