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Page 1 of 8 <br />ATTACHMENT A <br />APPLICATION SUBMISSION PORK <br />COMMUNITY SERVICES BLOCK GRANT APPLICATION <br />Florida Department of Community Affairs <br />FEDERAL FISCAL YEAR 1991 <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 1961 (PL 97-35), se <br />amended,* and the Community Services Block Grant Program Rule 9B-22, Florida <br />Administrative Code. <br />THE APPLICANT CERTIFIES THAT THE DATA IN THIS APPLICATION AND ITS <br />VARIOUS SECTIONS, INCLUDING BUDGET DATA, ARE TRUE AND CORRECT TO THE <br />BEST OF HIS OR HER KNOWLEDGE AND THAT THE FILING OF THIS APPLICATION <br />HAS BEEN DULY AUTHORIZED AND UNDERSTANDS THAT IT WILL BECOME PART OF <br />THE AGREEMENT BETWEEN THE DEPARTMENT AND THE APPLICANT. <br />Name (typed) <br />Chairman <br />Indian River County <br />Board of County Commissioners <br />Signature <br />Title: Date <br />Witness Date <br />APPLICATIONS MUST BE POSTMARKED BY THE DUE DATE, FEBRUARY 1. 1991 AND <br />RECEIVED NO.LATER THAN CLOSE OF BUSINESS (5:00 p.m.) ON FEBRUARY 6, 1991 TO BE <br />CONSIDERED FOR FUNDING. <br />