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<br />Environmental Health S.E. <br />tt303 866 4474 CWCB <br /> <br />71S-336-8S8S <br /> <br />p.4 <br /> <br />Ju 1 1 Z SS 11: 33a <br />.07/07/99 12:53 <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />I€J 002 <br /> <br />AUTHORIZATION <br /> <br />The Wldersigned does hereby submit this application for financial assistance <br />in accordance with the Federal Emergency Management Agency's Hazard <br />Mitigation Grant Program and the State of Colorado's Hazard Mitigation <br />Administrative Plan and certifies that the applicant will fulfiJl all of the <br />requirements of the program as contained in the program guidelines and that <br />all infonnation contained herein is true and correct to the best of our <br />knowledge. <br /> <br />Sjgnature~J. ~ )11:1",J --r;.e.u-r -:-+t.:>P<tf/"9J-. .LLJ <br />~ 7' ~,..........,~ <br />/2/J /J' ' /7 Applicant's Agent <br />Signature ~")J ~ ~ ....u./ <br />jJ. II _Chief Executive Officer. <br />Organization Lr-f>',j...,rs L.o.. ,,~y <br />Community/Jurisdiction <br />Date 1-7>17 <br />/ <br />