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* /�•,�T1• 7:1 w. r ...� :w� • Z ••C Atilt •-� a' S. R`7_Cars 3.C_ n'7 _ / 4 <br />� ies.VC � AS�_S _:s�.C_ � C��_..'ti _ ' ? -� <br />(CO10T. - i-ITY SERVCCES CRUST r':IC ) <br />G---LV;T A29LIC2TECN <br />!�1A.T.L TO: <br />Department of Community Affairs <br />Division of Local Resource Management <br />2571 Executive Center Circle East <br />Tallahassee, Fl. <br />323G� <br />Attn: CSTF Application <br />Pace I of 7 <br />* Submit two copies <br />One must be original <br />PLEAS^ -61777' <br />CUESTMNS <br />1. Lcca' Gcvernmental Unit Applying for Grant: <br />`arae: Indian ivCounty Telephone: $05)567-8000 <br />pare of town, ci =y or cairn ty) Ext. 200 <br />Address: 1840 25th Street, Vero Beach, Florida zio; 32960 <br />County: Indian River <br />Vocational Training and Sheltered Workshop and <br />2. Delegate Ac en cy (s) : Indian River County Council on Aging (SEE BELOW) <br />(apDllcable Only for Private non moil C. cor'i o3: azJ-on ne! eca -es ) <br />3. Person w=th over-all respor_sibili ty of c:a_nt: Ot: a Lepa_t^e.^. t w:.,i <br />contact this person should questions arise <br />Mare: Jeffrey K. Barton Telephone: (305)567 -8000 -Ext. 200 <br />Address: 1840 25th Street, Suite 216, Vero Beach, Florida 32960 <br />4. Name and address of person authorized to reces1►ve funds. . If t:.is am- <br />plication is funded, checrks will be mailed to this person. All chec'c_ <br />wi'_1 be made payable to the local government. <br />Ta=e : Jeffrey K. Barton <br />Add_ ess 1840 25th Street, Suite 216 <br />Vero Beach, Florida zio ; 32960 <br />3. * Vocational Training and Sheltered Workshop Indian River County Council on Aging <br />Richard D. Szott Arlene S. Fletcher <br />1385 16th Avenue 955 7th Avenue <br />':Vero Beach, Florida. Vero Beach, Florida 32960 <br />(305) 562-6854 (305) 569-0760 <br />NOTE: This application must be postmarked not later than August 1, 1082 <br />to be considered. , <br />600K 50 Dx"' , L Y <br />J UL 21 1982 <br />