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<br />_~ /1' 29 . 7"6 <br /> <br />. ' <br />" <br />. <br /> <br />GRANT APPLICATION - PART 1 <br /> <br /> <br />GENERAL INFORMATION <br /> <br />AGENCY NAME <br /> <br />TOWN OF' CAMPO <br /> <br />PROJECT SUPERVISOR/TITLE <br /> <br />ROSEMARY BROWN, TOWN CLERK <br /> <br />P.O. BOX 116 <br /> <br />RECEIVED <br />DEe 0 2 1996 <br /> <br />ADDRESS/ZIP CODE <br /> <br />CAMPO, CO., 81029 <br /> <br />Colorado Water <br />Conservation Rn-'rd <br /> <br />PHONE: (719 ) 787-2416 or 787-2114 <br /> <br />FEDERAL I.D. NUMBER 84-0566550 <br /> <br />TITLE OF PROJECT rrOWN PARK WATER CONSERVANCY PROJECT <br /> <br />AREA OF PROJECT Th1P ACT (Name of cities, counties, etc.) <br /> <br />BACA COUNTY, TOWN OF CAMPO, SURROUNDING RURAL COMMUNITY <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 ofthe applicant's agency. I have read the above conditions as well <br />as the grant guidelines. <br /> <br />ROSEMARY BROWN, TOWN CLERK <br />TYPED NAME AND TITLE <br /> <br />k~'fJ ~ 11-29-96 <br />SIGNATURE DATE <br /> <br />7 <br />