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U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />FEDERAL DISASTER ASSISTANCE ADMINISTRATION <br />DESIGNATION OF APPLICANT'S LOCAL AGENT <br />RESOLUTION <br />BE IT RESOLVED BY OF <br />(Governing Body) (Public Entity) <br />THAT <br />*(Name oflncumbent) (Official Position) <br />(Address) (Telephone No.) <br />(City) <br />(State) (Zip Code) <br />is hereby authorized to execute for and in behalf of <br />a public entity established under the laws of the State of <br />this application and to file it in the appropriate State office for the purpose of obtaining certain Federal financial assistance <br />under the Disaster Relief Act (Public Law 288, 93rd Congress) or otherwise available from the President's Disaster Relief <br />Fund. <br />THAT , a public entity established under the laws of the State of <br />hereby authorizes its agent to provide to the State and to the Federal Disaster Assistance <br />Administration (FDAA), Department of Housing and Urban Development (HUD) for all matters pertaining to such Federal <br />disaster assistance the assurances and agreements printed on the reverse side hereof. <br />Passed and approved this <br />day of 19 <br />(Name and Title) <br />(Name and Title) <br />(Name and Title) <br />CERTI FICATION <br />1, , duly appointed and <br />of <br />(Title) <br />, do hereby certify that the above is a true and correct copy of a resolution <br />passed and approved by the of <br />(Governing Body) (Public Entity) <br />on the day of 19 <br />Date• <br />(Official Position) <br />(Signature) <br />*Name of incumbent need not be provided in those cases where the governing body of the public entity desires to authorize any incumbent <br />of the designated official position to represent it. <br />28 <br />HUD -490 (6 -77) <br />