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For DNR Office Use Only (applicants, please do not write in this space): <br />Date Application Received <br />DNR Regional Program Leader <br />DNR Area Program Leader <br />DNR Regional Forest Health Specialist <br />Number of years applicant has received Mn ReLEAF Forest Health or Federal Oak Wilt Suppression $$: <br />Years or First-time applicant <br />Past project performance: <br />Good Fair Poor • Comments <br />Progress Towards a Disease Management Plan: <br />• Good Fair Poor Comments <br />Forest Health Concerns <br />All grant and match expenses are eligible: Yes No (Make notes on budget table) <br />Regional priority: High Medium Low <br />