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ATTACHMENT A <br />Florida Department of Community Affairs <br />COMMUNITY SERVICES BLOCK GRANT APPLICATION <br />Federal Fiscal Year 1994 <br />APPLICATION BIIBMIBBION FORM <br />SUBMITTED BY: Tndian River County <br />(APPLICANT) <br />Page 1 of _$_ <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 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 />.lnhn W_ Tinnin <br />Name (typed) <br />Chairman <br />Indian River County <br />Rnard of Comty Canissioners <br />Title <br />Witness <br />� Signature ` <br />1/11/94 <br />Date <br />Date <br />APPLICATIONS MUST BE POSTMARKED BY THE DUE DATE, FEBRUARY 1, 1994 AND <br />RECEIVED NO LATER THAN CLOSE OF BUSINESS (5:00 p.m.) ON FEBRUARY 7, 1994 <br />TO BE CONSIDERED FOR FUNDING. APPLICATIONS SUBMITTED BY ANY MEANS OTHER THAN <br />THE U. S. POSTAL SERVICE OR OTHER COMMERCIAL MAIL CARRIER MUST BE RECEIVED AT <br />THE DESIGNATED ADDRESS BEFORE CLOSE OF BUSINESS ON FEBRUARY 1, 1994 <br />