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<br />. <br /> <br />GRANT APPLICATION - PART 1 <br /> <br />. <br /> <br />AGENCY NAME SAN MTC,IJF:T. rOTTN'rV PIlINNTNr: T'\ppl\ R'T'MPN'T' <br /> <br />PROJECT ADMINISTRATORITITLE RTrf-lllRT'\ r:RTrP. PIlINNTNr: nTRPr'T'QR <br /> <br />ADDRESSIZIP CODE <br /> <br />Sn.N MT~T1F.T rnTTNrrv or ld\t1\lTM~ T"IRD~RrpMRl\l'T' <br /> <br />P.O. BOX 548 <br /> <br />TELLURIDE, CO 81435 <br /> <br />PHONE: <br /> <br />lill 728-)OR) <br /> <br />FEDERAL I.D. NUMBER <br /> <br />84-6000806 <br /> <br />CATEGORY OF PROJECT PIJRT.Tr TNFORMA'T'TONlPT'\T1rll'T'TnN <br /> <br />AREA OF DIRECT PROJECT IMPACT (Name of cities and counties) <br />SAN MIGUEL COUNTY <br /> <br />TOWN OF TELLURIDE <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 goveming <br />body of the applicant's agency. I have read the above conditions as well as the grant <br />guidelines. <br /> <br /> <br />PLANNING DIRECTOR <br /> <br />5 5 93 <br />DATE <br /> <br />.41.1'\,: <br /> <br /> <br />lil~"~ljt(ltll.lfilillJllil!l~i~'i';111~;idfil~11'!ljtlI"llllltlflllflllilllfrll\f1 <br /> <br />-2- <br /> <br />_ _'__..' _ _ "_W'._"._'. _. .____.__.~_____.._ .___.~ 'W".' --___ <br />