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<br />Water Supply Reserve Account - Grant Application Form <br />Form Revised April 2007 <br /> <br />Part A. - Description of the Applicant (project Sponsor or Owner); <br /> <br />1. Applicant Name(s): <br /> <br /> <br />Mailing address: <br /> <br />Taxpayer ID#: <br /> <br />Email address: <br /> <br />Phone Numbers: Business: <br />Home: <br /> <br />Fax: <br /> <br />2. Person to contact regarding this application if different from above: <br /> <br />Name: <br /> <br />Position/Title <br /> <br />l____.. .._~ ._._.___~_. _.__.,.. <br /> <br />3. Provide a brief description of your organization below: see "Description of Applicant" in Part 2 of Criteria <br />and Guidance for required information. <br /> <br />2 <br /> <br />~ <br /> <br />. <br /> <br />. <br /> <br />. <br />