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<br />GRANT APPLICATION - PART 1 <br /> <br />RECEIVED , 4 <br /> <br />Roy "I.!j 19Q8 <br /> <br />.".- <br /> <br />GENERAL INFORMATION <br /> <br />Colorado Watu <br />~nservalion Board <br /> <br />AGENCY NAME <br /> <br />Little Thompson Water District <br /> <br />PROJECT SUPERVISOR/TITLE <br /> <br />Michael T. Cook <br /> <br />District Engineer <br /> <br />ADDRESS/ZIP CODE <br /> <br />PO Box G <br /> <br />Berthoud, CO 80513 <br /> <br />PHONE: <br /> <br />( 970) 532-2096 <br /> <br />FEDERAL LD. NUMBER <br /> <br />TITLE OF PROJECT Flush Valve Replacement proiect <br /> <br />AREA OF PROJECT IMP ACT (Name of cities, counties, etc.) <br /> <br />Rp-rthoud, Johnstown. Mead. Milliken. Loveland, Larimer, <br /> <br />Weld and Boulder Counties <br /> <br />Applicants are subject to the following conditions: <br /> <br />The grant recipient agrees to develop and adhere to a schedule for State review of the <br />project to assure that the scope and intent of the project results are achieved. <br /> <br />Applications requesting funds expressly for administrative purposes will not be accepted. <br /> <br />THE APPLICANT CERTIFIES THAT - To the best of my knowledge and belief, <br />information in this application is true and correct. The document has been duly authorized <br />by the governing body of the applicant's agency. I have read the above conditions as well <br />as the grant guidelines. <br /> <br />Michael T. Cook <br />TYPED NAME AND TITLE <br /> <br />~~ <br /> <br />.--SIGNATURE <br /> <br />District Enqineer <br /> <br />77- NPV-1t!'l6 <br />DATE <br /> <br />7 <br />