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• <br />• <br />• <br />B. Administrative Questions <br />No <br />Questions <br />Response <br />1. <br />Application date: <br />2. <br />Name of political subdivision: <br />N\ 6-- L\no L. -aLfS <br />3. <br />Federal Tax TD #: <br />Id l- 088391-1 b <br />4. <br />Name of the County(s) in which the political <br />subdivision in located: � U 166 <br />5. <br />Name of individual completing this application: <br />yc :� 1Ca r I S d n <br />6. <br />Title of individual completing this application and <br />their telephone number: A 6t iin ) S i_'a r <br />7. <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 procurement or purchase <br />of accessibility improvements: <br />Name: <br />-e- ,Qfl S °I) <br />Title: <br />C +1 <br />p;5)it)zr AT IA <br />Address: <br />& PJk'W/ <br />00 Tom' r <br />Phone: <br />6 S )_ 9U- 2(05 <br />E -Mail: <br />i to-F-r y,ar l so;) a .10° --) <br />a4S, /))f•US <br />Fax: <br />65 I -q gZ- Z`' 9 9 <br />2 <br />