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F <br /> r' , . <br /> APPLICAI'IDN FOR OMB Approval No. 0348-0043 <br /> j FEDERAL ASSISTANCE 2. DATE SUBMITTED .Applicant identifter <br /> 1. TYPE OF SUBMISSION: 3: DATE RECEIVED BY STATE State Application Identifier <br /> i <br /> A lication Preappiication <br /> '.Construction Q Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br /> ?Non-Construction Non-Construction <br /> j 5. APPLICANT INFORMATION <br /> Legal Name: Organizational Unit: <br /> City of Eugene w~a~~r. S <br /> Address (give city, county, Sfate, and zip code): Name and telephone number of person t be contacted on matters involvin <br /> Eugene, Lane County, OR, 97402 this application (give area code) ~nG ~ p <br /> 6~ a_ gg~ <br /> 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) <br /> 9 3- 6 0 0 2 1 6~?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 ?Revision C. Municipal J. Private University <br /> D. Township K. Indian Tribe <br /> if Revision, enter appropriate letter(s) in box(es) D ~ E. Interstate L. Individual <br /> <br /> ~ F. Intermunicipal M: Profit Organization <br /> <br /> ~ A. Increase Award B. Decrease Award C. Increase Duration G. Special District N. Other (Specify) <br /> D. Decrease.Durafion Other(speci(y): <br /> 9. NAME OF FEDERAL AGENCY: <br /> ~ B,~,re.a,~c. o L.a.~,d rn A.n a -f- <br /> 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br /> - D F+ K - f-~ss rs f -a.~+c/e. A•~. «c..r..ti...-F ~1~1 ~4 03 ~ rr+ab <br /> TITLE: W• ( ~t ~ Nlaan w?Gw'~' fAS ~ v~/I~ <br /> 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.): <br /> i <br /> 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: <br /> Start Date Ending Date a. Applicant b. Protect <br /> 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> .ORDER 12372 PROCESS? <br /> a. Federal $ 00 <br /> So ~ a. YES.- THIS PREAPPLICATION/APPLICATION WAS MADE <br /> <br /> i <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. ®'IrOGRAM 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 /> 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br /> g. TOTAL $ 00 <br /> `~f Sl)~ ? Yes If "Yes," attach an explanation. ~o <br /> 18. TO THE BEST OF MY KNOWLEDGE AND BEttLIEF, 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 /> !'I a. Type Name of Aut orized Representative b. Title c. Telephone Number <br /> d. Sig ature o A ho ' Re entative e. Date Si ed <br /> lh~ J• h iMe.~~~ Zpo <br /> Previous Edition Usable Standard Form 424 (Rev. 7-97j <br /> Authorized for Local Reproduction Prescribed by OMB Circular A-102 <br /> i <br /> <br />