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 ,'.1,999-200'J ~b-'CTTA Re, LEAF ' <br /> COMMONH'Y FOREST HEAL.TH PROGRAM I <br />· 'APPLICATION FORM .I· <br /> AppIirai~on is ~ to this 4~pmge form - only. ,uppQrt le~r~ from ~o~r~ ma), be aUachecL <br /> <br />Legal Descr)pl: TwM::~ f- R~nge: f,.5 ~ <br /> <br />Applicant C;onta~ Information <br /> <br />AppIi~nt Orcjanha6on Name:_ <br /> <br />City of .2h~m_~¢y <br /> <br />P~seville, ~N 55113 <br /> <br /> , I <br />:"': Phone'No: ~ <br />Ciby, Sl~(a, ZIp cc~da: _._ X~m~y,_ MN _ 55303 ., <br /> Phone No:/651 ) 484-011zi <br /> <br /> DNRAze~ Metro VI <br /> <br />Nmma: City of <br /> <br />Address: 15153 Now~hen Blvd NW, Ramsey, 'lin <br />A~ N~.: O_q.~ ~ l.%. ool o o <br /> <br />Phone No:~,: <br /> <br />55303 <br /> ! <br /> <br />Applicant DTgibiIiby (check o'ne) ' <br /> <br />~Ot;her locaJ gove..mment (,peck: ..... <br /> , , Nomprbfif. Oruanhal~on (with ~01(c)(3) star:us) <br /> <br />ProJe~ Budget Summary <br />a~ Non-s~a~ cash ~ntribuUons: <br />b. Non~ Tn-~nd con~bu~ns:. <br />c. Mn ReLeaf Funding ~que~d: <br />TOTAL PROJE~ CO~ (a~): <br /> <br />__School Di~lzict <br /> <br />Local Commun~ For~f:ry Program Informaffon ' <br />City forester {or tree inspector) - name: Bruce F. <br />address: 15153 Nowchez: Blvd. ,NW, Ramsey, H~ 55303 <br /> <br />phone no: <br /> <br /> I <br /> I <br />I <br />I <br /> <br />612-427-1z <br /> <br />MnPJ. Fore_st Health Application <br /> <br /> <br />