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MINNESOTA DEPARTMENT OF AGRICULTURE <br />DIVISION OF PLANT INDUSTRY <br />670 STATE OFFICE BUILDING <br />Sr. PAUL, MINNESOTA 55155 <br />GRANT-IN-AID APPLICATION <br />RESIDENTIAL PROPERTY TREE REMOVAL SUBSIDY <br />FOR STATE USE ONLY <br />Date Received Contract # <br />Application # Requisition # <br />Date of Award Date of Encumbrance <br />(1) Political Subdivision Applying: <br />(2) Amount budgeted for applicant's subsidy program: <br />Note This includes subsidy expenses, <br />not total control expenses. <br />State's grant-in-aid share . . . . . . . . . <br />Total . . . . . . . . . . . . . . . . . . . . . <br />1975 <br />1976 <br />$ 10,000.00 <br />$ 10,000.00 <br />$ 20,000.00 <br />(3) What is the City's formula for determining the subsidy amount to homeowners. <br />`" <br />(Explain your subsidy program). Attach additional sheet if necessary. <br />(4) Estimate number of Elm and Oak trees eligible for homeowner subsidy: 500 <br />(5) (a) Program Manager — Person to whom inquiries about -the application should be <br />directed, q <br />Name:Terry Horwath Address: 104 W. Co. Rd. C. <br />Title: Tree Insp. <br />Business Phone: 484-2177 ( Home 483-8262) <br />(b) Fiscal Agent - Person to whom check should be sent. <br />Name: Joseph G. Chlebeck Address; <br />.Title: City Clerk <br />Payee's Title: City Clerk <br />Business Phone:484-2177 <br />(c) Person authorized to execute contract. <br />Name: Joseph iiG. Chlebeck • Address: <br />Title: City Clerk <br />Business Phone: 484-2177 <br />(6) Please enclose a resolution to come into the program. <br />(over) <br />515 Little Canada Rd. <br />clerk's exhibit no. <br />meeting 8-11-76 <br />See Diseased Tree Control <br />Book, clerk's office <br />( original sent to state <br />i <br />ti <br />ss . <br />\�s <br />Form AGR 56 <br />Revised 12./75 <br />