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<br />, <br /> <br />/~-' ~ <br /> <br />GRANT APPLICATION. PART 1 <br /> <br />~M <br />"":' <br /> <br />, ' <br />. <br /> <br />AGENCY NAME Town of Otis <br /> <br />PROJECT ADMINISTRATORITITLE Wanda Purdv. Chairperson. Otis Action Te~m <br /> <br />ADDRESS/ZIP CODE Otis Town Hall 102 S. Washin ton Otis CO 807 <br /> <br />PHONE: <br /> <br />~ 246-3235 <br /> <br />J.,& -'6lPII '\ <br /> <br /> <br />FEDERAL I.D. NUMBER 84-6000706 <br /> <br />CATEGORY OF PROJECT <br /> <br />Landscaping <br /> <br />AREA OF DIRECT PROJECT IMPACT (Name of cities and counties) <br />Otis, Washington Count v <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 />Sue McCaffery, Otis Town Clerk <br />TYLE AND TITLE <br /> <br />01c~ <br />SIGNATURE <br /> <br />~-:?R-q3 <br />DATE <br /> <br /> <br />-2- <br />