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Capital Improvement Incentive Fund Application
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This form has been modified since it was saved. Please review all fields before submitting.
Project Name:
Project Location: (please describe in detail the park property and location of the project)
If necessary, maps and other attachments such as letter of approval may be uploaded here:
Applicant Organization Name:
Applicant Organization Address:
Project Coordinator Name:
Project Coordinator Address:
Daytime Phone:
Evening Phone:
Email:
Alternate Email:
Project Description: (Please be specific! If needed, please send attachments using the link below)
Additional Attachments: (Please upload attachments here)
Who is reponsible for maintenance when the project is complete?
Is a site plan included?
-- Select One --
Yes
No
N/A
Is a cost estimate attached?
-- Select One --
Yes
No
N/A
Does this project meet ADA requirements?
-- Select One --
Yes
No
N/A
Is a school board approval letter attahced?
-- Select One --
Yes
No
N/A
Is a Parks, Recreation and Tourism approval letter attached?
-- Select One --
Yes
No
N/A
How will this project benefit the community? (include specific groups it will serve, if applicable)
Will this project be available for use by the public?
Estimated Project Start Date:
Required Completion Date:
Estimated Cost: (please attached estimate breakdown)
Attach cost estimate breakdown here:
Matching Fund Request:
Today's Date:
Today's Date:
Applicant's Financial Commitment:
(Please describe the scope of y our group's financial commitment and how you will meet this commitment, including {if applicable} quantified donated materials and services up to twenty-five percent (25%) of total project.)
By selecting SUBMIT below, your application will be considered to have the applicant's commitment to fulfill all of its obligations, financial and other, under the terms of this program, and will confirm the group has the financial resources on hand to complete this project. The above named project manager shall have full authority to act on behalf of the requesting organization.
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Email address
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