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0 <br />APPLICATION FORM FOR.THE <br />LOCAL GOVERNMENT COMPREHENSIVE PLANNING <br />ASSISTANCE PROGRAMS <br />NOTE: Only those applications postmarked or hand -delivered to the <br />Division of Technical Assistance on.or before August 21, 1978 <br />wi.l� 1 be acceptable for processing A fully completed applica- <br />tron form and a resolution constitute an acceptable application. <br />TO BE SUBMITTED TO: Mr. Rick Barrett <br />Division of Technical Assistance <br />Florida Department of Community Affairs <br />2571 Executive Center Circle, East <br />Tallahas_sze. PlorWa 323P] _ <br />APPLICANT GodcXVxxx county) : Indian River County <br />ADDRESS: 2145 14th Avenue <br />Vero Beach, Fla. 32960 <br />County Administrator <br />TELEPHONE: ( 305) 562-4186 <br />CHIEF ELECTED OFFICIAL: William C. Wodtke, Jr. TELEPHONE:(305) 562-5449 <br />The Applicant certifies that to the best of his knowledge and belief, <br />the data in this application are true and correct, and the filing of <br />the application has been duly authorized by the governing body of the <br />Applicant as confirmed by an attached resolution. The resolution was <br />duly approved by the governing body in a regular or special meeting <br />held between the receipt of this application and the August 21, 1978 <br />deadline. <br />August 9, 1.978 <br />Signature of the Chief Date <br />Elected Official <br />J <br />NOTt: Application must be signed by the chief elected official and include <br />` all identifying information, fiscal need information,�and a resolution from <br />the governing body. A separate application must -be submitted by each <br />governmental unit that isincluded in a joint application.. <br />FOR JOINT APPLICANTS ONLY: Please indicate below the designated common <br />planning entity (the public or private organization staff that will be _ <br />responsible for performing any work that is funded under this program). <br />..This information must be included for a joint application to be acceptable. <br />Indian River County Planning & Zoning Dept. Stan Redick, Director (305) 567-5142 <br />Name of Entity Contact person and phone number <br />Name and Mailing Address of the Chairman of the Local Planning <br />Agency (LPA) as designated pursuant to the Local Government <br />Comprehensive -Planning Act. <br />Mr. -Richard Bird <br />P. 0. Drawer C <br />Vero Beach, Fla. 32960 <br />DO NOT WRITE BELOW THIS LIME <br />APPLICATION NUMBER: SINGLE JOINT <br />APPLICATION COMPLETE: YES NO <br />APPLICANT APPLIED IN 1977: YES NO <br />POSTMARY.jDELIVERY DATE: <br />A11r, n9. 197 <br />