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City of Lake Elmo <br />Lake Improvement/Water Quality Grant Application <br /> <br /> <br />Name and Lake Association: <br /> <br /> <br /> <br />Date: <br /> <br /> <br />Phone: <br /> <br />Email: <br /> <br />Description of treatment/improvements: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Outline of total project costs (can be included on separate sheet or provide via invoice copies): <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Amount being requested (Note: The City will match 50% of the costs paid for by the lake association up to $5,000): <br /> <br /> <br />Additional comments: <br /> <br /> <br /> <br /> <br /> <br />**Please also include any documentation for grants that have been requested and/or received from <br />other entities** <br /> <br /> <br />___________________________________ _____________________ <br />Applicant/Lake Association Representative Date <br />Signature