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<br />. <br /> <br />APPOINTMENT OF APPLICANT'S AGENT <br /> <br />FEMA-DR-1186-CO <br /> <br />i <br /> <br />:,',1' <br />r <br /> <br />Ii <br />Ii <br />. <br /> <br />1!.1~ Cou~ <br />(Name of Applicant or S nllllee) <br /> <br />~(V1 M.....HtJ/JIN (;.- <br />(Name of Applic:ut's Agent) <br /> <br />J~I':, ~~~ ~. (1.,.. ?.?..I <br />(BusiD<lSS Addrcos) f <br /> <br />~Q"I~ CO SO~O~ <br />( Ey, S Zip Code) <br /> <br />S~~.r t"'),,~/ p(ll;~t yt..,"^:;t-'" <br />(Tide) <br />BUJiDcss PM'" 30 3\ !f~ - >441 <br /> <br />HOmel'lloml/~3) 27"1 ~~4~ ~e.1I) <br /> <br /> <br />\ <br /> <br />FAXN <br /> <br />c:- /of\.1 e a.ow tJ I N <r <br />(Apptican~ C- <br />of {jrJN"If <br />(Applicant or Sub-Grantee) <br />S_ of CaIClnldo. this appIicatiOlL 8lIIIto file it with the DeparlmelLl of Laca1 AfFairs, Office of Emotg_y <br />Maaacemcar for the purpose of obtaining Federal fipallcl411 uu-- under tbe Disaster ldief act (Public <br />Law 93-288 as amended), or otIterwise available from the President's 0iSIlStl:t Idief fund. <br /> <br />Thu1lte JII\:)(t(;AJ GUN;-'"'! ~vSttJ""r;;N~publiceatityllllablishecl under the laws oftbc <br />Stale of CoIor4do, bcrcIIy aarhorizes lIS apt to prooidc: to the Stata and 10 !be feder.d EmerpllC)' <br />Manapmear AJeIICY for all matlet5 pataininll to such Federal cIisUIIer assistllnce the assuraDCllS anachacl <br />In the prt!joct aprlieotion. <br /> <br />is hereby authorized 10 _ute for lII1d all behalf <br /> <br />a public ClLlily eolIIblished under the laws of the <br /> <br />1~99 <br />(Date) <br /> <br />ApprlMld 8y: , f) <br />~ - }. /(. ..a~ Jd::!. <br />( , B1ec=l oificiauoin:ctor~ent) <br />(Type Name and TItle) <br /> <br />M~~ A. ftRIJOf, C6"''''~r/.NfCft- <br />(Sipm....) / <br /> <br />. <br /> <br />-*- ~-~--- - <br />