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11 <br />11 <br />NANIDIT A <br />TRANSPORTATION DISADVANTAOLD CONNISSION <br />91/92 GRANT APPLICATION INToRMATION PORN <br />CONCERNING PLANNING RELATED ACTIVITIES <br />7OR TEE NON -SPONSORED <br />1. DATE SUBMITTED: September 10, 1991 <br />Z. LEGAL NAM OT ORGANIZATIONS Indian River County Board of County Commissioners <br />3. ADDRESS: 1840 25th Street <br />4. .CITY AILD STATE: <br />Vero Beech, Florida <br />S. ZIP CODES, 32960 , MEDERAL ID f 59-6000614 <br />6. CONTACT PERSON FOR THIS GRANT': Cheri B. Fitzgerald, Planning Denartment <br />7. PHONE NUMBER: (h07)567-8000, ext. 230/21i3 <br />5. COUNTY FOR MHYCH THIS GRANT APPLIUs Indinn RIX2r County <br />9. •' PROPOSED PROJECT START DATE: 1/1/92% ,iM DAlnI •12/14/Q2 <br />10*. ESTIMATED PROJECT FUNDING: b. NAOMI FOND £WAON ON 1' • <br />Stat. $ 14 , 685.00 T�ilMS/1 D WO P MOW . <br />State $ -0- <br />Local $ 4.895.00 <br />TOTAL $ 19,580.00 <br />11. I hereby Certify that this document has been duly authorised by the <br />governing body of the applicant and the applicant will perform <br />tasks identified in the application manual and comply with any <br />attached assurances if the financial assistance is awarded. <br />a. <br />Robert M. Keating, AICP Community Development Director <br />TYPED NAME OF AUTHORIZED REPRESENTATIVE AND TITLE <br />b. PHONE NUMBER OF PERSON ABOVE: (1s07)567-8000, ext. 230 <br />SIGNATURE OF AUT i1IZFY REPRESENTATIVE / DAT <br />c. <br />12. I hereby certify that this grant, including the budget detail, has <br />been reviewed and approved in its entirety by the ndianttiver <br />County Coordinating Board. <br />Form Rev. 4/25/91 <br />-�V <br />C_ lS Lv2.t- � <br />COORDINATING BOARD CHAIRPERSON SIGNATURE <br />13 <br />