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a <br /> APPLICATION FOR .oMBApprovalNo.o3aa•ooa3 <br /> FEDERAL ASSISTANCE 2. DATE suBMITTED Applicant Identifier <br /> ~j-b-D~o <br /> 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier <br /> A lication Preapplication <br /> Construction ~ Constructlon 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br /> ? •Non-Construction Non-Constructlon <br /> 5. APPLICANT INFORMATION <br /> Legal Name: Organizational Unit: <br /> City of Eugene „c.b~;` r'kg ~ ~r r~•Lr1'~' <br /> Address (give ci(y, county, Sfafe, and zip code): Name and telephone number of persori to a contacted on matters involvin <br /> this application(glve area code) Sew ~ <br /> ,Eugene, Lane County, OR, 97402 <br /> ~'I f l ~ ~oz ~ ~ • <br /> 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) <br /> <br /> ~ 9 3-©0 0 2 1 6 0~. <br /> A. State H. Independent School Dist. <br /> 8. TYPE OF APPLICATION: 8. County I. State Controlled Institution of Higher Learning <br /> New ? Continuation ?Revision 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 /> 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br /> ? fl K ~5s;5-I-~?~c.i fF~tc~.~?~w~ ~~}f9o3 ~h(oa <br /> TITLE: ,~~ti I'~va w1,F•~,"~' <br /> ' 12. AREAS AFFECTED BY PROJECT(Cifies, Co Pies, Stafes, etc.): Ia5 dr~~ ~E"~D~ l ~ ~ oZ <br /> 13. PROPOSED PROJECT 14. CONGRESSIONAL D TRICTS OF: <br /> Start Date Ending Date a. Applicant b. Project <br /> O -1 v L-> oq•-3a -o (0 0 lr., a u-Y-~'lti <br /> 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> ORDER 12372 PROCESS? <br /> a. Federal $ 00 <br /> t5t7 ~ a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE <br /> oa <br /> b. A licant AVAILABLE TO THE.STATE EXECUTIVE ORDER 12372 <br /> PP $ <br /> PROCESS FOR REVIEW ON: <br /> c. State $ 00 <br /> DATE <br /> d. Local $ oo <br /> b. No. PROGRAM IS NOT COVERED BY E. O. 12372 <br /> e. Other $ °D ? OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br /> FOR REVIEW <br /> f. Program Income $ o0 <br /> 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br /> g. TOTAL $ 00 <br /> I ~ ? Yes If "Yes;' attach an explanation. [G~'Fio <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 /> a. Type Name of Authorized Representative b. Title c. Telephone Number <br /> b t7:f `c~t- Q-~kt ~ D tom, S 6 - ~QDO <br /> d. Signatur ed Represen tive ~ e. Date Signed <br /> Previo Edition Usabl ~ Standard Form 424 (Rev. 7-97) <br /> Authorized for Local Reproduction Prescribed by OMB Circular A-102 <br /> <br />