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16 <br />Hennepin Youth Sports Program Facility Application 2014 <br />Hennepin Youth Sports Program Facility Application Form <br />Name and Address of Project <br />St. Anthony Youth Softball / Baseball Dugout Project, 3301 Silver Lake Road NE, St. Anthony, <br />MN 55418 <br />Local Government Unit (I,,GU) <br />City of St. Anthony <br />LGU Application Contact <br />Mark Casey, 3301 Silver Lake Road 'NEI, St. Anthony, MN 55418, mark.casey.� ci.sainl- <br />anthomnumis, 612-782-3301 <br />LGU Public Affairs Contact (Name, email and telephone) <br />Tax II) Number <br />802-5013 <br />Federal Tax ID Number <br />41-6005512 <br />County Commissioner District Number of Facility <br />2 <br />EXECUTION <br />IN WITNESS TIIEROF, the applicant has caused this application to be executed on the <br />day of <br />By: (print name) <br />2013. <br />Title <br />