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Attachment C <br />Page 2 of 4 <br />Specify Category 1, 2, 3 or 4 and designate the applicable <br />subcategory (see Attachment B, General Infomsation"). <br />Categorys 1. Local Government Program Development or 7mprovenent <br />Sub -Category C. Management Plans & F. Staffing <br />SMUlARi OF COSTS (A 50/50 match or better on behalf of the <br />applicant is required). <br />Requested Grant $ Local Match $ <br />I II <br />Personnel Nxpenses $ 4,781.00 S 4,281.00 <br />Operating aspenses $ $ <br />Capital Zxpenses $ S <br />Other S S <br />Total Requested Grant(I) $ 4,781.00 -0- <br />Total Matching Costs(II) $ -0- $ 4,781.00 <br />Total Program Costs(III) $ 9,562.00 <br />100% <br />Add columns I and II for total III (1008) <br />50 % Grant request 50 %Local match <br />A buduet, detailing all costs identified above must be attached <br />The local match, including cash and in-kind services, must be <br />substantiated by documentation. <br />PROJECT LOCATION INFORMATION (Please Print or Type) <br />(Complete where applicable) <br />County Indian River Forestry District/Center Okeechobee District <br />Local Government Jurisdiction (County Government, Municipality, <br />School Board District or Independent Special District): <br />Indian River County <br />Describe the Specific Location of the Project: Unincorporated area <br />East of highway I-95. <br />Who has Maintenance Responsibility for the Property (Category 2 <br />Grants)? N/A <br />Is the Land Ownership Public or Private?: N/A <br />Name of Landowner: N/A <br />V <br />