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--- Page l of _12. <br />COMMUNITY SERVICES BLOCK GRANT APPLICATI - -- <br />FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS <br />FEDERAL FISCAL YEAR.. 1987 <br />APPLICATION SUBMISSIOW FORM <br />SUBMITTED BY: INDIAN RIVER COUNTY <br />(APPLICANT) <br />Application is hereby made.for funding through the Community Services Block <br />Grant under the Community Services Block Grant Act of 1981 (PL 97-35), as <br />amended, and the Community Services Block Grant Program Administration <br />Rule 9B-22, Florida Administrative Code, effective March 1984. <br />THE APPLICANT CERTIFIES THAT THE DATA IN THIS APPLICATION AND IT VARIOUS <br />SECTIONS, INCLUDING BUDGET DATA, ARE TRUE AND CORRECT TO THE BEST OF HIS <br />OR HER KNOWLEDGE AND THAT THE FILING OF THIS APPLICATION HAS BEEN DULY <br />AUTHORIZED AND UNDERSTANDS THAT IT WILL BECOME PART OF THE AGREEMENT <br />BETWEEN THE DEPARTMENT AND THE APPLICANT. <br />Don C. Scurlock. Jr. <br />Name (typed) <br />n+ C <br />Signature <br />Chairman of Roard of Cnnnty commissioners <br />Title: <br />ATTESTED BY: Freda Wright . <br />Name (typed) w n tyr J-) <br />�. <br />Clark of the RA rd of County Commissioners <br />Title <br />APPLICATIONS MUST BE POSTMARKED BY THE DUE DATE, FEBRUARY 1, 1987 . AND <br />RECEIVED WITHIN FIVE DAYS AFTER THAT DATE TO BE CONSIDERED FOR FUNDING. <br />Form:DCA/css <br />87-I <br />9 <br />BOOK b6 P'�GE S5 <br />