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App t <br /> <br />Local Unit <br /> <br />Project Name <br /> <br /> PRELIMINARY APPLICAT ~ON <br /> <br />LAWCON/STATE OUTDOOR R£CREAT~ON ACQUiSITiON AM> DCVELOP~NT GRANTS <br /> Fiscal Year 1988 <br /> <br />County <br /> <br />Region <br /> <br />Prinary Contact Person for the Project= <br /> <br />Name <br /> <br />Address <br /> <br />Zip <br /> <br />Recreational Facilities Proposed <br /> <br /> Title <br />Phone (work) ( ) <br /> <br />City <br /> <br /> (home) <br /> <br />Legislative District~ <br /> <br />Congressional District <br /> <br />Township ~ Range ~ Section <br /> <br />Project Cost Breakdown <br /> <br /> ACQUISITION Oufs~ice <br />Parcel Acres Cost ~ <br /> <br /> SUBTOTAL <br /> <br />(see list of eligible facilities on page 4) <br /> <br /> Ot[VELOP~NT <br /> Type of Facility <br /> <br />Qty . Cost <br /> <br />SUBTOTAL <br />TOTAL <br /> <br />Site Plan - Attach a plan for the proposed project which shows: <br /> <br />· Boundary of park property (red) <br />· Layout of existing facilities (red) <br />· Layout of future proposed facilities (blue) <br /> <br />· Zoning of surrounding land and present uses <br />· Layout of grant proposed facilities (yellow) <br />· A north arrow, scale, legend, and date <br /> <br />Geographic Location Hap <br /> <br />Attach a map (county, municipal, or plat) which clearly identifies the project location, access road, north arrow, and <br />nearest similar facility. This will be used to rind the site for inspections. <br /> <br />Five-year Action Plan <br /> <br />Attach a copy of the five-year recreation plan of the applicant unit of government, identifying the proposed project. <br /> <br />17 <br /> <br /> <br />