New Search
• <br /> 16. APPLICATION SIGNATURE <br /> • <br /> As an authorized representative of GITY vp o Ul •41.e- , 1 certify that the applicant <br /> agrees that as a condition of receiving Local Govemment Grant Program assistance, it will comply <br /> with all applicable local, state and federal laws. This application has been prepared with full <br /> knowledge of and in compliance with the Oregon Administrative Rules Chapter 736, Division 6, for <br /> the Distribution of State Funding Assistance to Units of Local Government for Public Parks and <br /> Recreation and OPRD's Procedures Manual for the program. I also certify that to my best <br /> knowledge, information contained in this Application is true and correct. I will cooperate with OPRD <br /> by furnishing any additional information that may be requested in order to execute a State/Local <br /> Agreement, should the project receive funding assistance. <br /> 4 b# PI �v y btvighpN Now4A-6412.. <br /> Name Title <br /> eIZ /Zooq <br /> Authorized Representative Signa re Date <br /> 'S • aril • 6 B Z. • i tot Z. <br /> Telephone Number Fax Number <br />