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All Applications Must <br />Be Postmarked <br />OCT 18 1977 <br />To Be Accepted for <br />Processing <br />APPLICATION FORM FOR THE <br />LOCAL GOVERNMENT COMPREHENSIVE PLANNING <br />ASSISTANCE PROGRAM <br />i <br />TO BE SUBMITTED TO: Mr. John Sidor, Jr., Director <br />Division of Technical Assistance <br />Florida Department of Community Affairs <br />2571 Executive Center Circle, East <br />Tallahassee, Florida 32301 <br />APPLICANT (city, county): Indian River County, Florida <br />ADDRESS : 2145 14th Avenue TELEPHONE: <br />Vero Beach, Fla. 32960 (305) 569-1940 <br />�ntt;r' ELECTED OFFICIAL: <br />William C. Wodtke , Jr. <br />TELEPHONE: (305) 569-1940 <br />Office (305) 562-5449 <br />The Applicant certifies that to the best of his knowledge and belief, the data <br />in this preapplication are true and correct, and the filing of the preapplica- <br />tion has been duly authorized by the governing body of the Applicant as con- <br />firmed by an attached resolution. <br />Signature of the Chief <br />Elected Official <br />Date <br />NOTE: Application must be signed by the chief elected official and include all <br />identifying information, fiscal need information, and a resolution from the <br />governing body. A separate 2] lication must be submitted by each governmental <br />unit that is included in a joint application. -- <br />FOR JOINT APPLICANTS ONLY: Please indicate below the designated common plan- <br />ning entity which will be responsible for the work to be performed: <br />Indian River County <br />Planning Department <br />Name of Entity <br />OCT 5 -1977 <br />Val. E. Brennan, A.I.P. Planning Director <br />05) 567-5142 <br />Contact person and phone number <br />