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M <br /> LOCAL GOVERNMENT GRANT PROGRAM <br /> (iv <br /> APPLICATION CHECKLIST <br /> • Name of Project Sponsor City of Eugene. Oregon <br /> Name of Project: East Fork Amazon Headwaters Type of Project: Acquisition <br /> A complete application for a Local Govemment Grant includes the application forms <br /> and attachments. Please indicate in the space at the left of each item, that it has been <br /> endosed. <br /> COMPLETED APPLICATION PACKET: <br /> Cover Letter <br /> Application Forms - required pages have been filled out, including the date and <br /> signature of an authorized official. <br /> L/ Park Vicinity Map <br /> „.. (12 copies) <br /> Park Boundary Map/Site Plan <br /> ✓_Construction Drawings/Floor Plans (12 copies) <br /> Mk State Natural Resource Agency Comments <br /> Property Deed/Lease Agreement <br /> ✓ Preliminary Title Report (Required for an Acquisition) <br /> v Appraisal (Required for an Acquisition) <br /> ✓ Planning Department Certification <br /> Resolution to Apply for Grant <br /> gibe <br /> NUMBER OF COPIES TO SUBMIT: <br /> Submit two (2) copies of complete application packets, all required attachments and <br /> twelve (12) copies of vicinity map and park boundary/site plan maps. <br /> DO NOT PUT APPLICATION PACKETS IN NOTEBOOKS OR FOLDERS. STAPLE IN <br /> UPPER LEFT HAND CORNER. <br /> • <br /> (kw <br />