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9. ENVIRONMENTAL INFORMATION CONSISTENT WITH ITEM 3 OF THE FEDERAL <br /> • GOVERNMENT'S Minimum Proiect (Elioibility) Criteria <br /> 10. APPLICANT CAN AND WILL PROVIDE PROJECT MAINTENANCE, AS APPROPRIATE, <br /> FOLLOWING COMPLETION OF THE PROJECT? YES NO <br /> 11. ESTIMATED TOTAL COST OF PROJECT $ <br /> ESTIMATED PROJECT BUDGET $ <br /> 12. SECTION 404 HAZARD MITIGATION GRANT PROGRAM MONIES REQUESTED <br /> FEDERAL SHARE 2$ STATE SHARE $_ <br /> 13. PROPOSED APPLICANT SHARE OF PROJECT COST $ / % <br /> 14. OTHER PROPOSED SOURCES, & DOLLAR AMOUNTS, OF FUNDING FOR THE <br /> • PROJECT <br /> 15. RATIO NAI-E/JUSTIFICATION FOR PROPOSED PROJECT FUNDING SOURCES <br /> INDICATED ABOVE <br /> 16. ADDITIONAL COMMENTS CAN BE MADE ON A SEPARATE PAGE. <br /> (Any additional information in support of the project, or additional information regarding one of the above <br /> questions, that you feel is appropriate.) <br /> 17. TO THE BEST OF MY KNOWLEDGE AND BELIEF, DATA IN THIS APPLICATION AND ANY SUPPORTING <br /> DOCUMENTS ARE TRUE AND CORRECT. <br /> Signature of Applicant's Contact Person Date Signed <br /> • <br /> 2Cannot exceed 75%of total project cost. <br /> DPS-DEM Page 4 of 4 <br /> 9/30/94 <br />