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U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />FEDERAL DISASTER ASSISTANCE ADMINISTRATION <br />FfOJECT APPLICATION FOR FEDERAL FINANCIAL ASSISTANCE <br />I 1. APPLICANT'S NAME AND ADDRESS <br />City of Little Canada <br />515 Little Canada Road <br />Little Canada, Minnesota 55117 <br />3. PROJECT SUMMARY <br />2. APPLICANT <br />Name <br />Title <br />Address__ <br />Telephone <br />O.M.B. No.00a.RI421 <br />FDAA APPLICATION <br />DECLARATION <br />NUMBER <br />560 <br />DECL 37/23$N DATE <br />PA NUMBER . <br />1S02., <br />SUPPLEpaEpiT N0: <br />'S AGENT (Attach Form HUD -490 or 490.1) <br />Roger Glanzer <br />Utility Superinte <br />e ana•a 'oa. <br />612/484 -2177 <br />A. DEBRIS CLEARANCE.......:. • . ; <br />B. PROTECTIVE MEASURES - <br />C. ROAD SYSTEMS <br />D. WATER CONTROL FACILITIES..... , , <br />E. PUBUC BUILDINGS AND EQUIPMENT <br />F. PUBLIC UTILITIES <br />G. FACILITIES UNDER CONSTRUCTION <br />H. PRWATE NONPROFIT FACILITIES <br />I. OTHER DA MA G ES (Not in above categories). <br />TOTAL:. • <br />AMOUNT <br />REQUESTED BY <br />APPLICANT <br />1 9-3,00 <br />925.00 <br />1,748.00 <br />152.00 <br />25382.00 <br />. 3,282 ., - 3,282 <br />1,887.00 <br />30 287.00 :.r. <br />AUaeh detailed descriptions s <br />tions and estunated costs 1 <br />financial assistance is requested 41O ibis nearest dollar) for each item <br />�4 (Form HUD -4g4) of work above for ruhreh Federal <br />4. FUNDING REQUESTS: <br />Advance of Funds ❑ YES 2 N <br />Partial Payment . (Form HUD Payment 5. REQUEST SYAPPLICANT'8 -AGENT (Provides. 0 <br />on assurances o reverse side) <br />fPorm HUD 489.1) <br />IN Categorical ❑ Flexible Funding (Section 402(fl) <br />8/17/78 <br />Utility Superintendent " <br />Date <br />Title <br />tion 419) <br />Signature <br />O <br />6. CONCURRENCE BY GOVERNOR'S AUTHORIZED REPRESENTATIVE IN APPLICANT'SREQUEST G <br />Pt des State <br />assurances on reverse side) <br />• <br />❑ Categorical ❑IFlexible Funding /. <br />8/21/78 8 /21 /78ntri. R ton <br />Date Received • Date Approved <br />7. APPROVED BY FDAA <br />❑ Categorical <br />Date Received <br />Signature <br />Date Approved <br />HUD 48319-74) Replaces OEP Form 152 which is obsolete <br />L r 5 1 ai h. <br />ald T. Bu:decke� <br />Signature <br />COPY 1- FINANCIAL MANAGEMENT <br />