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A <br />CDBG-N-2: APPLICATION PROFILE (CONTINUED) <br />OTHER JURISDICTIONAL ACTIVITIES <br />13. if a local government is undertaking activities outside its jurisdiction, all of the <br />beneficiaries must reside in the jurisdiction of the applying local government. <br />Otherwise, the application must be a joint application pursuant to Rule Chapter <br />9B-43.004(2). If a local government is undertaking activities outside its <br />jurisdiction and all of the beneficiaries reside within its jurisdiction, an Interlocal <br />agreement with the other governmental entity is required. <br />This is a joint application with NIA <br />Name of other governmental entity <br />This is not a joint application, but an Interlocal agreement is required. <br />YES NO <br />An Interiocal agreement must be included as Appendix C if this is a joint <br />application or if it is required. <br />List the other participating local government(s): <br />Which local government will be the lead agency? <br />HISTORIC PRESERVATION <br />14. Will the proposed project impact any building, public improvement, or planned <br />open space older than 50 years? <br />Yes No X <br />If yes, historic preservation documentation must be provided as Appendix D. <br />