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Disaster Declaration Number: FEMA DR-MN <br /> • Date of Declaration: <br /> STATE OF MINNESOTA Date Application Completed: <br /> Division of Emergency Management (DEM) <br /> APPLICATION FORM <br /> for the Section 404 Hazard Mitigation Grant Program (HMGP) <br /> NOTE: This application will be used by DEM to determine whether a proposed project meets the Minimum Project <br /> Criteria for the HMGP, and whether it should be selected for potential funding through that program. If the <br /> proposed project is selected by DEM for HMGP funding, the information contained in this application will form the <br /> basis of a more detailed application which DEM will submit to FEMA. (FEMA must review and approve all projects <br /> selected by DEM for HMGP funding.). Hence, ALL QUESTIONS MUST BE ANSWERED COMPLETELY. Use <br /> additional sheets of paper if necessary. Type (or print clearly) your response. If you are unsure as to the meaning <br /> of a particular question, contact DEM prior to attempting to answer that question. Remember, projects cannot be <br /> retroactively funded through the HMGP, hence, projects already in progress or completed will not be considered. <br /> APPLICANT' NAME <br /> STREET / PO BOX <br /> CITY, STATE , ZIP CODE <br /> COUNTY <br /> ZIP CODE <br /> AME OF CONTACT PERSON FOR THE PROJECT <br /> TITLE OF CONTACT PERSON FOR THE PROJECT <br /> ADDRESS OF CONTACT PERSON <br /> PHONE NUMBER OF CONTACT PERSON <br /> 1. PROJECT LOCATION <br /> (Road or street address. Include a legible map/drawing of location. If possible, map should be 8 1/2 x 11") <br /> 2. PROJECT DESCRIPTION <br /> • <br /> 1Political subdivision, quasi-government agency, non-profit organization, state agency, Indian Tribe. <br /> DPS-DEM Page 1 of 4 <br /> 9/30/94 <br />