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BOARD OF GOVERNMENT INNOVATION <br /> AND COOPERATION <br /> APPLICATION FORM <br /> Application For A <br /> Service Sharing Grant <br /> This application is submitted to the Board of Government Innovation and Cooperation <br /> pursuant to Minnesota Statutes, § 465.80. Pursuant to Minnesota Statutes, an eligible applicant <br /> for a Service Sharing shall include two or more local government units. For Service Sharing <br /> Grants, a local unit of government is defined as a city, county or township. The local <br /> government units applying for this grant agree to abide by the requirements of Minnesota <br /> Statutes and the approved procedures for the Board. <br /> • e respo ' o e o 'wing que,, 'ns. If necessary, use attachments to respond <br /> to specific questions. The Board shall return or reject applications that it determines do not <br /> provide an adequate response to the specific questions. <br /> 1. Name of participating local government units. <br /> Fridley New Brighton <br /> Mounds View Spring Lake Park <br /> 2. Name, address and telephone number of an individual who is able to respond to questions regarding I <br /> grant application. <br /> Name: William W. Burns Position: City Manager <br /> Address: City of Fridley 6431 University Avenue N.E. <br /> (Nome of.participating lout gov't.,or repr.e.t.ti ro thereof) (Street Address) <br /> Fridley, MN 55432 Telephone Number: 572-3506 <br /> (City,State aid tip Code) <br /> 3. What is the specific service(s) or program(s) which are to be provided under a shared servic <br /> agreement between the participating local units of government? How will this shared servic <br /> agreement be different from existing_shared_services_arrangements? Explain_how_other,—nc- <br /> participating local governments may benefit from this project. <br /> (Please Attach Response; limit response to a maximum of one typed page) <br /> 4. Total amount of state grant requested: $ 120,000 <br /> 5. Please identify all necessary one-time only start-up costs for the proposed shared services. Provid( <br /> detailed description of all start-up costs. Indicate which start-up costs are to be funded by the gra <br /> from the Board of Government Innovation and Cooperation and which start-up costs are to be fund <br /> from other sources of revenue. Identify all other sources of revenue that will be used to fund a porti <br /> of the start-up costs. <br /> (Please Attach Response; limit response to a maximum of one typed page) <br /> 1 <br />