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All Applications Must <br />Be Postmarked <br />Ut; t, 1 <t 1.177 <br />To Be Accepted for <br />Processing <br />APPLICATION FORM FOR THE <br />LOCAL GOVERNMENT COMPREHENSIVE PLANNING <br />ASSISTANCE PROGRAM <br />'J 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 />�PPLICANT (city, county): <br />TOWN OF ORCHID <br />=.DDRESS: TELEPHONE: <br />Rt. 2 Box 66 Vero Beach, FI 32960 305- 589=5060 <br />ZHIEF ELECTED OFFICIAL: TELEPHONE: <br />George O. Lier, Mayor 305 - 589 - 5060 <br />The Applicant certifies that to the best of his knowledge and belief, the data <br />_n this preapplication are true and correct, and the filing of the preapplica- <br />:ion has been duly authorized by the governing body of the Applicant as con- <br />firmed by an attached resolution. <br />October 17, 1977 <br />` Signat a of the Chief Date <br />Elected Official <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 application must be submitted � 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 />-Adley Assoc., Inc. <br />Name of Entity <br />V <br />OCT 5 1977 <br />Harry C. Adley 813-366-2420 <br />Contact person and phone number <br />SUCK 31 PAGE 242 <br />