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f <br /> APPLICATION fOR oMB Approval No. o34B-oo43 <br /> FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier <br /> $ . -F~.. b~ avoS . <br /> 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY ST TE State Application Identifier <br /> A lication Preappiication <br /> Construction ~ Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br /> ~ Non-Construction Non-Construction <br /> 5. APPLICANT INFORMATION <br /> Legal Name: Organizational Unit: <br /> City of Eugene Pwb (~G ~o s ter' <br /> Address (give city, county, State, and zip code): Name and telephone number of person to a contacted on matters invoiv(n <br /> Eugene, Lane County, OR, 97402 this application (give area code) Er, ~ <br /> 8. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) <br /> 9 3-©0 0 2 1 6 0? ~ 0 <br /> A. State H. Independent School Dist. <br /> 8. TYPE OF APPLICATION: B. County I. State Controlled Institution of Higher Learning <br /> ~ ?Q New ? Continuation ?Revlsion C. Municipal J. Private University <br /> D. Township K. Indian Tribe <br /> If Revision, enter appropriate letter(s) in box(es) ~ ~ E. interstate L. Individual <br /> F. Intermunicipal M. Profit Organization <br /> A. Increase Award B. Decrease Award C. Increase Duration G. Special District N. Other (Specify) <br /> D. Decrease Duration Other(specify): <br /> 9. NAME OF FEDERAL AGENCY: <br /> <br /> I <br /> <br /> ~ ~{.S. ~t,~caw o WI a~ ~ <br /> 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br /> I tS~ - a A K As S-Fan w ~}~~.~.d.,,,,'F 03 i ~ ~ <br /> TITLE: UII <br /> f ~ ~~-~~i MQ.nA yylfi?~~I <br /> 12. AREAS AFFECTED BY PROJECT (Cities, Coun 'es, Sfates, etc.): / 6{s ~ <br /> E G?t~ LGUt Z ~au,,,~{ ~r 0 <br /> 13. PROPOSED PROJECT 14. CONGRES ZONAL DI RICTS OF: <br /> Start Date Ending Date a. Applicant b. Project <br /> -~-b5 -3a--cab ~1~. ~v~..r-tL~ , <br /> 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> ORDER 12372 PROCESS? <br /> a. Federal $ 00 <br /> S a. YES. THIS PREAPPLICA 10 AP LIGATION WA M D <br /> T N/ P S A E <br /> b. Applicant $ 00 AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 <br /> PROCESS FOR REVIEW ON: <br /> c. State $ 00 <br /> DATE <br /> d. Local $ 00 <br /> b. No. ~ROGRAM IS NOT COVERED BY E. O. 12372 <br /> e. Other $ 00 ? OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br /> FOR REVIEW <br /> f. Program Income $ 00 <br /> 97. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br /> g. TOTAL $ oo <br /> b ? Yes if "Yes," attach an explanation. 0'No <br /> 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE <br /> DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br /> ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED, <br /> au,j a. Type Name of Authorized Representative b. Title c. Telephone Number <br /> r e .-tti• Dyret.-I=t~< arks ~ 5' - YBov <br /> d. Signature of A on epr entaflve e. Date Signed <br /> ~ - Jvby><. Ash 1 2v>,?r" <br /> Prev ous Edition Usable Standard Form 424 (Rev. 7-97) <br /> Authorized for Local Reproduction Prescribed by OMB Circular A-102 <br /> <br />