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2. APPLI•
<br />FEDERAL ASSISTANCE
<br />A. KUMRLn d. 6TATE I.MUM7in
<br />N/A APP,IEA. A
<br />CARPS
<br />APPLI•
<br />CI PRE7,PPLICATION --
<br />_ —.-[ylvO�STI-
<br />1. DATE
<br />]e r mandyPR
<br />b.OAIF. J�1'mr mmUb dnu
<br />_-1.TYPE
<br />E
<br />ASSIGNED N/'l7
<br />OF CATION
<br />ACTION (� APPLICAFI09
<br />2i11 1
<br />olfarkap' NOTIFICATION Of INTENT (OPL) Garr
<br />proprtalr Blank
<br />baz) DEPORT OF FEDED1d ACTION
<br />5. FCOEIIAL CMPLOYClI IOCNIIFICATION 110.
<br />/, LCOAL APPLICANT? CCIPIL'NT
<br />,. APOINnINImI : City of Mounds View
<br />--
<br />b. Caudell" Unit
<br />6. NUMBER �813 .151113
<br />b_TITLE
<br />e. sugvr.o, eu 2401 Highway 10
<br />PRO•
<br />GRAM b. nn[
<br />d. city Mounds View a. Cs nn :
<br />Ramsey
<br />(Fran, WARNING
<br />I. SNI, Minnesota d. 21P We:
<br />55112
<br />£Waal
<br />1. ConIIN Plain (Nam,
<br />Donald I_Paulcy (612)
<br />784-305
<br />Ca!dnpl I
<br />r
<br />R1,10...No.)
<br />7. AND DESCRIPTION OF APPLICANT'S PROJECT
<br />TITLE
<br />b. TYPE OF APPLICANT/RECIPIENT
<br />A-SNI, 11•Cammunlry A<Ilan Apnq
<br />0-Intrnlab I-Ilithu [Iuulloml ln,Uwllen
<br />Purchase and install one (1) and
<br />relocate
<br />C-SubltT J-Islas Will,
<br />Dntripl X-0Ihe, ISPlrilyl:
<br />yyyy
<br />two (2) Warning Sirens
<br />O-County
<br />E-Cily
<br />F-S,haal Walla
<br />C•Sp„UI ?arm.
<br />Enla aDPraPeiab Idta E
<br />OI,UaI \
<br />9. TYPE OF ASSISTANCE
<br />A411ib Gant D-Nnggnq
<br />0-Supphmmld Gnnl E-0IA,1 Ed„ aPPri-
<br />Plot" Print, Idter(eI A
<br />T..AREA CF PROJECT IAIPACT INnmq of eitin, e.antiu•
<br />11. DERI MATEOF PEIISONIS
<br />A-t1raYPE PR ddgCAT10 [•A lmtnitlita
<br />Smb,, dw)
<br />BENEFITING
<br />D-P.anwd 0-Conlinudlan
<br />City of Mounds View
<br />12 , 50 0
<br />Cale aYP,tprub Idly p
<br />17. PROPOSED FUNDING i/. CONGRESSIONAL DISTRICTS OF: —
<br />15. TYPE OF CHANCE (£aIt' or tell
<br />A Janata Oollm F-OiIAtr SDe<i1Y):
<br />a. FEDERAb S 7,500 .DO a. APPLICANT
<br />b. PROTEGE
<br />R-Dwgq Dnlbn DYN/A
<br />G-Inbaga gaon
<br />b. APPLICANT 7, 500.m Fourth
<br />Fourth
<br />ID-DIngN DuNOm
<br />[•ClnnllNlos
<br />/-
<br />e. S1ATE ,p0 16. PROJECT START
<br />DATE Yeo, monlll day
<br />17. PROJECDURTIT
<br />DUR/�TION
<br />for apPrs-
<br />yrwt, Idl„bl
<br />•_—__.OD_ *__ 19 _
<br />—
<br />L4
<br />—Lu
<br />19. EXISTING FEUDIAL IDENTIFICATION NUMBER
<br />�.LOCAL
<br />16. ESTIMATED GATE TO
<br />fear month day
<br />OTHER .q
<br />�_ HE SUBMITTED TO
<br />14 TGTAL—lf_ 15 000 -co FEDERAL AGENCY I•
<br />1983 6 _30
<br />-
<br />ADDED
<br />1 ---�
<br />ED. FEDERAL AGENCY TO RECEIVE REQUEST (Rom,, City, S" Zip Cadet
<br />21. REMARKS
<br />rEMA Re ion V 300 Wacker Dr.
<br />Chicano, IL.
<br />G0652 Lg Y°` f3 "°
<br />nn jobnrLMd. Tmgtnl to W. N. m- Hgpom,
<br />,. 10 the bat sl my Nu.ls!p and brad. L. II Imulud by 0M6 Clauhr A-95 JAI, q;bUtina
<br />u. IAunn, b Ipp:uptnb dgiinAln:,u and dl U,Pun:q ua -1 1 'j: ,Yam alfnrbd
<br />Bala In AU NgPybellla./gpllglipn u, tbudmm
<br />THE Nut and greet the dmument Ib bun
<br />body o1
<br />❑ 11
<br />-
<br />%h degminF
<br />APPLICANT duly ,olclnl 1y e 111
<br />Comply
<br />Cl ❑
<br />I
<br />CERTIFIES the appllgnl and IM tp.in 11 -ill
<br />II IAa qdd-
<br />N/A
<br />THAT ellh IA, tl"hd ours, ltl
<br />❑
<br />,an It gplmlf. 13)
<br />t. GATE SIGNED
<br />t. TYPED NNE AND TITLE
<br />1. SIGNATURE
<br />I'll, wpn1A Rise
<br />1S
<br />CERTIFYING Donald F. Pau.
<br />19 83
<br />4
<br />REPRE• Clerk-AdminlStratOY
<br />R
<br />SENTATIYE
<br />•5. APPLIEA• 1'ar govA dae
<br />2/. AGENCY NAME
<br />?ION
<br />RECEIVED 19
<br />2L ORGANIZATIONAL UNIT
<br />29. ADDRESS
<br />31. ACTION TAKEN
<br />3"
<br />a. AWARDED
<br />L TO
<br />11 b. REJECTED
<br />1. AN
<br />t. RETURNED FOR
<br />o. STA
<br />-
<br />AMENDMENT
<br />d. LOT
<br />0 d. DEFERRED
<br />t. OTI
<br />'�-
<br />a WITHDMIN11
<br />I
<br />OFFICE I 2& FLULKIL rrrL....
<br />IDENTIFICATION
<br />:]. iE.ERAL GRANT
<br />IDENTIFICATION
<br />Year mo-ih day 34. Year M0.14 doy
<br />STARING
<br />ACTION DATER 19 _ DATE 19
<br />CONTACT TOIL ADDITIOUAL INFORMA• 36. Yea with day
<br />TIEN (Nana end Ie'wPAon, mmhal ENDING
<br />DATE 19 _
<br />37, REMARKS ADDED
<br />I y F�d�."1111,d.,:Iiiyshlr
<br />arnr n:yom, It du. uMrt pnrn:om oIPadIFEDEML AGENCY or N blind mtJ,.
<br />�A-95 ACTION
<br />/24-101 J',tare6od by GSA
<br />Ar Upon advice of approval of project application.
<br />Yaa
<br />OEEICIA
<br />nu.l
<br />I
<br />
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