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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 />Name of the County(s) in which the political <br />subdivision in located: <br />4. <br />Name of individual completing this application: <br />5. <br />Title of individual completing this application and <br />their telephone number: <br />6. <br />In the spaces below, list names and contact information for the individuals and offices of <br />your political subdivision responsible for: <br />Administering & implementing the <br />grant: <br />Authorizing the purchase of accessibility <br />improvements: <br />Name: <br />Title: <br />Address: <br />Phone: <br />E -Mail: <br />Fax: <br />2 <br />