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B. Administrative Questions <br />No <br />Questions <br />Response <br />1. <br />Application date: <br />2. <br />Name of political subdivision: <br />3. <br />Federal Tax hD #: <br />4. <br />Name of the County(s) in which the political <br />subdivision in located: 166-t° <br />5. <br />Name of individual completing this application: <br />6. <br />Title of individual completing this application and <br />their telephone number: I S a r <br />7. <br />In the spaces below, list naives and contact information for the individuals and offices of <br />your political subdivision responsible for: <br />Administering & implementing the <br />grant: <br />Authorizing the procurement or purchase <br />of accessibility improvements: <br />Name: <br />jT- YA(S °V) <br />Title: <br />ON/ NM IA /5+C a <br />r <br />Address: <br />(goo 17 0 C p( I er ' oy <br />Lj+l0 La)t5, VTh <br />Phone: <br />6 I I g Z- 2 t1 e 5 <br />E- Mail: <br />-,' <br />j er,r )ar,) sco o0 0. 1)00 <br />albs, TAWS <br />Fax: <br />,5I— 7gz— Z '199 <br />2 <br />