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MINNESOT <br />SVAHL yr tea tstct'MEIN l' <br />INNOVATION AND COOPERATION <br />1997 PRE - APPLICATION <br />COVER PAGE <br />—State Use Chil — <br />DateKazin& <br />Grant Number: <br />1. Applicant Name(s) List all proposed ap licants. Educational Cooperative Service Unit <br />of the Metropolitan Twin Cities Area Metro ECSU); Metropolitan Council of the <br />Twin Cities; Roseville Area Schools, ndenendent District #623; Chaska School <br />District #112; Municipalities within these school districts (potentially 11 <br />municipalities) <br />2. Contact Person This person must be able to respond to questions regarding the pre - application. <br />Name: Tom Baldwin Ads: 3499 Lexington Avenue N. <br />Title: Director St. Pau], MN 55126 -8017 <br />Agency: Metro ECSU . <br />Telephone Number. (612) 490 -0053 x130 Fax Numb: (612) <br />490 -1920 <br />3. Grant Program Identify the grant category for which you are submitting this proposal. <br />O Service Budget Management Model Grant ($50,000 maximum) <br />0 Cooperation Planning Grant ($50,000 maximum) <br />0 Service Sharing Grant (5100,000 maximum) <br />4. Estimated Costs <br />Total Estimated Cost of the Proposal/Project <br />Hard Dollars <br />In -kind Contributions <br />Amount of Grant Request <br />$ 30,000 <br />5 To he determined <br />ned <br />5 30,000 <br />5. Willingness To Repay The Grant Does the model have the <br />operating costs of the local tmit(s) of government? x yes <br />potential to reduce the ongoing <br />no. If the model has the potential <br />repay the grant based on a <br />costs paid with grant finds, not to <br />to applicants that are willing to agree to <br />to reduce local govermnent operating costs, is the applicant willing to <br />percentage of the actual savings achieved? x yes no <br />The percentage of the savings to be repaid to the state shall equal the percentage of project <br />exceed the total amount awarded Three additional points will automuicady be awarded <br />repay the grant if the project is successful in reducing ongoing operating costs. <br />This pre - application is submitted to the Board of Government Innovation and Cooperation pursuant to M.S. <br />465.798, 465.799, or 465.801. To the best of my knowledge, the information contained in this proposal is <br />accurate and complete. <br />(Siamtw.) (Title) (Dan) <br />(The cover page must be signed by the senior elected or administrative official of one applicant agency.) <br />The Pre - Application Must Be Returned to the Board Office No Later Than <br />5:00 P.M., October 31, 1997 <br />(SEE OTHER SIDE) <br />Page 33 <br />