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Type of Fund <br />$ Amount <br />Non -state cash contributions (not required) <br />Non -state in -kind contributions (not required) <br />Ash Tree Removal grant requested <br />Tree Planting grant requested <br />TOTAL PROJECT COSTS: <br />0.00 <br />2010 to 2014 Community Forest Bonding Grant Application <br />Coversheet <br />Please refer to the Guidelines when completing the application. This form is also available on the DNR <br />website: http: / /www.dnr. state. mn. us / grants / forestmgmt /commforestbondgrant /index.html <br />Applicant Information Application Date: <br />Organization: <br />Project coordinator: Title <br />Address: City, State, Zip <br />Phone: office cell Fax: <br />Email: <br />Additional Project Coordinators /Technical Advisors: (List names, organization /agency and phone) <br />Eligibility (check one): ❑ City Township Count Park & Recreation Board in city of First Class <br />Has your organization received a DNR Community Forest Bonding grant? No ❑Yes, when? <br />For cities or townships only. Is your community a Tree City USA? No Yes <br />Project Title: <br />Summary Statement — Please give a 2 -3 sentence summary of your overall project. <br />Project location (county, city, site): <br />Start date: Expected completion date: <br />Budget Summa <br />Authorization <br />I certify this information is valid and factual as described in this application and that all costs are eligible under the DNR Community <br />Forest Bonding Grant Guidelines. <br />Name: <br />- 1 - <br />Title: <br />Signature: Date signed: <br />