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PRELIMINARY GRANT COMMISSSION ONTMINNESOTAV FUND GRANT (15 -400) <br />RESOURCES <br />When to Submit: <br />This application must be submitted by September 16, 1977 to be considered for <br />fiscal year 1978. <br />Where to Submit: <br />Send one original signed copy with proposed documentation to: Park and Recreation <br />Grants Section, State Planning Agency, Room 101, Capitol Square Building, St. Paul, <br />Minnesota 55101 and appropriate Regional Development Commission, Metropolitan <br />Clearinghouse, or Metropolitan Council (see attachment I). <br />A. Name, address and phone number of political B. Person to whom inquiries about applica- <br />sub- division responsible for the project. tion should be directed. <br />Name <br />Title <br />County Address <br />Zip Area Code Phone Zip Area Code Phone <br />C. Name of Project: <br />D. Type of Project: <br />(check box) <br />E. List recreational uses <br />proposed for the park: <br />Acquisition ❑ <br />Development ❑ Combination ❑ <br />F. List acreage of acquisition projects and recreational facilities for development projects <br />and total costs proposed in this application. <br />Acquisition Projects <br />No. of acres Total Cost <br />G. State source of local share funding: <br />(note: local units need to provide <br />25% for LAWCON projects and 50% for <br />LCMR) <br />Development Projects <br />No. requested or Type of <br />length of facility facility <br />(example 600' of <br />hiking trail) <br />Facility <br />Cost <br />TOTAL COST <br />H. Attach a county, municipal or plat map showing location of project, identifying the <br />nearest access road, and adjacent land ownership. <br />I. Attach a site map showing parcels to be acquired or facilities to be constructed in <br />this application. <br />J. Attach a copy of the future 5 year recreation action plan of the applicant unit of <br />government, including cost estimates of acquisition, development, and maintenance of <br />recreation areas within the jurisdiction of the applicant. Indicate any type of natural <br />resource ordinance adopted by the applicant (for example, shoreland, shade tree disease <br />control, erosion control, etc.). <br />K. Cite the projects reference to the recreational plan of the governmental unit making <br />the application and any priority ranking of that project within the plan. <br />Short quote referencing Short quote of any <br />Title of Plan Year Published Page No. proposed project or map priority reference of <br />t <br />L. <br />Execution <br />IN WITNESS THEREOF, the applicant has caused this preliminary application to be executed. <br />Submitted on , 19_ By <br />(month,day) Signature <br />0022 <br />itle <br />