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EXH®IT A <br /> COMMISSION FOR THE TRANSPORTATION DISADVANTAGED <br /> 97/91 GRANT APPLICATION INFOILMATION FORM <br /> CONCERNING PLANNING RELATED ACTIVITIES <br /> 1.. DATE SUBMITTED- "ay 6, 1997 <br /> 2, LEGAL NAM OF ORGANIZATION:Indian River. Country Community Dev. Dept. <br /> 1 ADDRESS 1840 25th Street <br /> 4. CITY AND STATE; Vero Beach. Pt. MP CODE: 22860 <br /> S. CONTACT PERSONFOR'THISGRANT:: Sagan Rohani, AICP <br /> b., PHONE NUMBER; (561) 567-8000. Eut. 250 <br /> T COUNTY FOR WHICH THIS GRANT APPLIES:; Indian River County <br /> S., PROPOSED PR0IECT START DATE: 1,/1� ENDING DATE; 12�8 <br /> 9i. ESTIMATED PROJECT FUNDING: 9b PLANNING FUND ALLOCATION <br /> Stats S <br /> 13,716.00 TRANSFERRED TO TRIP GRANT <br /> Stme S 4.000.00 <br /> TOTALS 1.7,716.00 <br /> 10, l hereby 0010►that chis doe+ament has been duly authorized by the governing body of the <br /> applieant and the applicant will perform tasks identified in the application mutual and comply with <br /> any 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. PHONEMJMBEROFPERSONABOVE: (561) 567-8000, ext. 254 <br /> C. <br /> 4/18/97 <br /> S1GNA F A •O E VRESENTATIVE DATE <br /> Farm no Ybl7 <br /> Planning Grant Appl.Page 1 <br />