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<br />. <br /> <br />.iJ ~ . <br />/fflf; <br />,''n t <br /> <br />GRANT APPLICATION. PART 1 <br /> <br />. AGENCY NAME Town of Wiggins <br /> <br />PROJECT ADMINISTRATORITITLE John C. Holdren <br /> <br />Town Admimstrator <br /> <br />ADDRESS/ZIP CODE <br /> <br />P.O. Box 287 <br /> <br />Wiggins <br /> <br />Colorado 80654 <br /> <br />PHONE: <br /> <br />~ 483-6161 <br /> <br />FEDERAL I.D, NUMBER <br />CATEGORY OF PROJECT <br /> <br />84-0704236 <br /> <br />Water Delivery/infrastructure enhancements <br /> <br />AREA OF DIRECT PROJECT IMPACT (Name of cities and counties) <br />Town of Wiggins <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 project <br />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, information in <br />this application is true and correct. The document has been duly authorized by the governing <br />body of the applicant's agency, I have read the above conditions as well as the grant <br />guidelines. <br /> <br />John C. Holdren <br /> <br />Town Administrator <br /> <br />TYPED NAME AND TITLE <br />ttL;# :U"~ ~/,~26-93 <br />/SIGNATURE) DATE <br /> <br /> <br />-2. <br />