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• <br />• <br />3. STATE <br />TION <br />TION <br />!DENTS <br />FIER <br />AC 150/5900-1B <br />Appendix 1 <br />OMB Approval No. 29-R0213 <br />a 1(IIMBER <br />76-05-04-321 <br />b. DATE Year month day <br />ASSIGNED 19 <br />I S. <br />FEDERAL EMPLOYER IDENTIFICATION NO. <br />N/A <br />& <br />PRO- <br />GRAM <br />(From <br />F.Wal <br />Catalog) <br />.. NUMBER <br />b. TITLE <br />Planning Grant Program <br />& TYPE OF APPLICANT/RECIPIENT <br />A -Butt N-Commnlly Rim Apenq <br />B-Ieteratat. 1-NIYher Educational Institution <br />C Subalst. J-Indian Tribe <br />D-CDi*lc K-oher <br />1-* DINTS <br />OLbR[ Porgy Enter appropriate teeter <br />9. TYPE OF ASSISTANCE <br />A-&Wc Grant D-Insurance <br />9-Supplemental Grant E-OIMr Ester appro. <br />C-Lan yriate MIN(*)IA 1 <br />1L EESTIMATED <br />T II AT D NUM. 12. TYPE OF APPLICATION <br />BERE07 PO A-N0 F aymma E-Auynnntatlon <br />0- <br />1, 000, 000 RgnvuN OfaaOouatfa Enter approprtete tatter <br />ail <br />1a. CONGRESSIONAL DISTRICTS OF: 115. TYPE OF CHANGE (For Ise or age) <br />A-Inerea.00 a APPLICANT 1 b. PROJECF <br />0-Increase . Illm F-0Iher (3pe0-Increase Duration <br />.00 1 tiourllan <br />.OD ion <br />Al 1& DATE <br />t START p 117• PROJECT <br />Months Eater Friars onto- <br />19 <br />a. OTEER An I . ESTIMATMT nEAp�TDO Ye swath day 19. MISTING FEDERAL IDENTIFICATION NUMBER <br />L TOTAL I £ 50, 000 .00 FEDERAL AGENCY,. 1978 1 31 <br />20. FEDERAL AGENCY TO RECEVE REQUEST (Na*.. City. Sfat..SIP aodeI 1 21. REMARKS ADDED <br />DOT/FAA - Airports District Office, Falls Church, VA. 22046 I ❑ Yes ®No <br />22. a To the belt el AO bealada and ballet. <br />alb In AM pi..p U4N.ppllatia an <br />THE tine and correct, Th. Moment Ma bon <br />APPLICANT dub/ evtNDad by M. tWtalolns Wry a <br />CERTIFIES Me OpplINN and de applicant mill comply <br />THAT► PIM the *tiGMd assumes If the mbt- <br />.na Is approved. <br />1/31/79 <br />EXHIBIT 1. SAMPLE APPLICATION FORM <br />FEDERAL ASSISTANCE <br />1. DTYFPE ❑ riumwunm <br />ACTION ® APPLICATION <br />IMarhey ❑ NOTIFICATION OF linen (Opt) <br />i.rid. ❑ REPORT OF FEDERAL =ON <br />4. LEGAL APPLICANT/RECIPIENT <br />a. Applicant Name : Capital Airport Commission <br />b. OrpNaatia UAN : Same <br />a SWMVP.0. Dan - 800 Independence Ave., S.W. <br />d. DID Washington .. pony ; N/A <br />A SWN D.C. a Z1PCaat 20591 <br />b. CNNN P.ne (Nave Mary Doe - Chief Engineer <br />4 WeaMoa. No.) : 202-426-0000 <br />7. TITLE AND DESCRIPTION OF APPLICANTS PROJECT <br />Airport Master Planning Study <br />Capital Airport <br />Washington, D.C. <br />10. AREA OF PROJECT IMPACT (Noma of cities. onaluA <br />etatm. stc.) <br />Washington, D.C. <br />13. PROPOSED FUNDING <br />a. FEDERAL Is 40.000 <br />APPLICAM I 5,000 <br />e. sal I 5,000 <br />d. 10CAL I <br />2. APPL4 <br />CANTS <br />IAPPLI. <br />CATION <br />Goee <br />1dWwk <br />b. I. dleo. NgMMn.Bto .ps,oNA0dn,In lutbn nd fall mipo es 1natttethod: pone a(1a 4 4 <br />(3) <br />23. a. TYPED RARE MD TITRE <br />CERTIFYING <br />EO NG John Smith, Chairman <br />TENTATIVE Capital Airports Commission <br />24. AGENCY NAME <br />26. ORGANIZATIONAL UNIT <br />29. ADORES& <br />IS1. ACTION TAKEN <br />/0 a AWARDED <br />0 b. REJECTED <br />0 & RETURNED FOR <br />AMELDMENT <br />I0 d. DETERRED <br />❑ R. W(TNORAWN <br />3& <br />FEDERAL AGENCY <br />A-95 ACTION <br />424-101 <br />32. <br />e. FEDERAL. <br />b. APPLICANT <br />e. STATE <br />d. LOCAL <br />FUNDING <br />S <br />0)) Washington Metropolitan COG a <br />❑ ❑ <br />a DATE SIGNED <br />Year monA day <br />19 77 9 7 <br />25. APPLICA. Yea manta day <br />TION <br />RECEIVED 19 <br />127. ADMINISTRATIVE OFFICE 28. FEDERAL APPLICATION <br />IDENTIFICATION <br />A SIGNATURE <br />X <br />a. NUMBER <br />1 <br />b. DATE 9 <br />19Vrir <br />12101.1110131 <br />30. FEDERAL GRANT <br />IDENTIFICATION <br />I Thar mono day Year month day <br />S• ING <br />.00 1 33. ACTION DATE 19 _ _ DATE 19 <br />,(D 1 3S CONTACT FOR ADDITIONAL INFORMA. 36. Year month day <br />TION (Nome and Mayhem manger) ENDING <br />.00 I DATE 19 <br />.001 37. REMARKS ADDED <br />a OMER I .00 I <br />f. TOTER 1 D .00I <br />a In Wing above action. orstmomnb raaltad from cNrleybaw - <br />Mhscamomon response rbbaing . due mat awiYaa et Put 1. C OYS <br />Yes [JNo <br />b. FEDERAL ADDICT AA5 OFFICIAL <br />(Nam* and tebpAo . sal <br />STANDARD FOODS 424 PATE{ 1 (1045) <br />PraerRod by 08.4. Faduai Manogsmab Maier Tia <br />3 <br />