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Attachment 1 <br /> Page 2 of 8 <br /> PROJECT INFORMATION SHEET <br /> lApplication Agency(with which contract is to be executed) <br /> Legal Name Street-City-Zip Phone <br /> 330.1 Silver Lake -Road <br /> St. Anthony Police Dept. St. Anthony, MN 55418 ( 612 ) 789-5015 <br /> 2.Authorized Official <br /> Legal Name Street-City-Zip Phone <br /> 3301 Silver Lake Road <br /> Chief Richard Engstrom St. Anthony, MN 55418 ( 612 ) 789-5015 <br /> 3.Operating Agency (if different from #1) <br /> Legal Name Street-City-Zip Phone <br /> 4.Contact Person for further information on application - <br /> Legal Name Street-City- Zip Phone <br /> 3301 Silver Lake Road <br /> Lt. John Ohl St. Anthony, MN 55418 (612 ) 789-5015 <br /> 5. I certify that the information contained herein is true and accurate to the best of my knowledge <br /> and that I s0xnic this application on behalf of the applicant agency. <br /> Signature of Authorized Official <br /> Title :_Liq Datex��;4,�, <br />