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Fort Walton Beach Council agenda — 06-02-09 special — reading text
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Expiration Date: 01 / 31 / 2009
Version 02
Application for Federal Assistance SF- 424
Applicant Federal Debt Delinquency Explanation
The following should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
INSTRUCTIONS FOR THE SF- 424
r this co ecc1on of information is estimatev.- to average CC m routes rer resporse including t me for rev ew -.g - s* r>-.- Jons, se arch - g
r blic. reper.ing burden k,,
existing darn sources, gal:!,e ring a:r:d maintaining the da*a seeded, anc cori;, eting and reveeeng v collectic- o` informatcn. Sena comments regardmg t- e
s* ira*e or ar y ot?,* r aspect of ' his oD lle,-rion of info.rria~ion irx: luding suggestions for reducing ' his rx.wrc en, tc * he Cficce of Managemen, an,,, Budg
Paperwork Re,:,_c*icn Project, (OS48- CG43), Washingion. DC 207001,
PLEASE 00 NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET SEND IT TO THE ADDRESS PROVIDED
BY T14E SPONSORIN-G, AGENCY.
is a s arlda.Td form ( i= 2-. tdiag :be lcoarmuanot: --heer) re cored fo- u-e as i -,vvei -1eer for subm2ss. ou of p: eoappl, c:.-,u ous aad app " c, nocs aad
ielaredmformatiol: uudeT dncreml. onary progrims. Son,.e of l-e .ems are reqvmred and some are opTional a* t• e disc re-don oftie :%
ppplacax or rise Fe%
derfl
a iddoion 'to f• e mscra: uous
leeuxy ( agency) Feqtured trews axe idetafted with at islen.sk of *he fo: m atd are specl: fied in the :
r consul' ageLCY M, = C Tioms - o deTenum'e -,Pe,-__=
pioiided below.. applic-as urs nra.--, C
Iteri Erd- y: teary En -.ri:
1. Type of Submission: iRequ re-,): Select one type of s,, viiiss cr M IC. Name Of Federal Agent' : Required;
= Enter -he - aril ol 11"
accordance .nirh agency rstructions. ch assistance s being requested with
ederal agency frorl %%,
this application.
Apr. - aion
Cnanged,,C orrected Applicatc.- - If eques-,,
ed by the agency, che,-4., 11 Catalog Of Federal Domestic Assistance NumberiTitle.
his submission s to cm.ange or correct a grey, subrnir ed Enter the Catalog c :: edera Cc%
mest -, Assistance num.-me r a- c
ap.- cation. Winless requestec. by the agency ..aj:,
pbcca- s may not title of *he Marc gram and whic ass vanc* is as
use *fts *o submit changes after the closing dite.
ccabs.
Type of Application. c R,-.-c uired) Select one type r-4 applicatic7 in 12. Funding Opportunity Nunilber.,Thle', Req, i,Cfi Eater t- e,
accordance ,ewh at n,, y rsnations. unding C pper- uni*y N, mbem and t 1e of t-_ opp.--iuril *y unde •
whi-,,r assist_;-: e is requested, as ' ound zn -. he Program
a 1 " Yek• - An a.-,plic,3-,4cn tral is being * o a7 agercy ',or *he
irs-, jn)e.
- anncsu n,,e men".
Contnuatc - An ex* ens on for anacda cx7al ' unding: budge, is riocl, 13. Competition Identification NumberTitle:
for a prL-.-:-:t w4h a projected cornps.non d-ate.
1;
s can include Corr I,-Iion Idenlih, .xion Number and the
reneviials. undE-,°wNcr ass stance is reqes-ed, i• apr• : ab e,
Rev seen - Any , fange n the Federa Cicvernment s fra n,, a,
ct gaitc7 or cc-51nge- i ability from an existing Wigavion f a
revison, enter *he approphate evens). More ran one may be
selected. if -_-, heCis selectee, cleass speofy in Isyt box - rov csd.
14,
Areas Affected By Project: List the areas or e - ities us ng W
A 1norea-s-i Award B. De-: rease Awia, -. hecanories f e. g , 1-;ties, cc., 71ies, sla*es. eto.', srec Fred 9n
C, increase Duraton 0 Decrease Curator, agercy .,nst%-_- ions. Use *he -,crtnu;-,Jon s- eet to en, er
add • ional areas, if nee,.,1Z.4.1.
E. 0-her ispsca' y:
Date Received: - ave t- s fez ..:: bla- 4. This dxewili be assigned by ti's: Descriptive Title of Applicant' s Project: ' Reqi
tive _ d6 =-. era
Fedora age- z . bnef , escriptive t 1e of t- z- prc. e-n. f appm,,.,-,ate, ara-,- I
rei
map showing project iocaton ie g.,
Applicant Identifier: Enter :%e entity identif s- assgi,: ec- s:,,
- - For prea.,,, cations, a t: acs a s 171 a ry
4. ned ny the Fesderal prcz e Vy p
desc, , tc - 01; ' 1-. e Z,- DJE- 1- .
agency if 3^ y or appi cants ocoircl number, if apc, ccaber,
5a le. Congressional Districts Of: iRequired: 16a Ewer Ihe
Federal Entity Identifier: Enter the - . assigrsd *o your
app can-' s Congres c,- 31 Divrct I 1!-_ - 7-:hle- ad C s 'f1c"
' Is'
organizatic by the Federal Agerccy, if any. 4
a1eni d by , he program Enter i n tie orrr at,
5b. Federal Award Identifier: or new applicat ce, s leave bia- '-
k. or a,
characters SWe Abbrevavc 7 - '; I characWs DisL.-_"% LJ1`_ PF,
c-cminua-ion or recision to an existng award, enter the previous y,
assigned Fe- :;oral .3tward idea if number f a chamged, cortecte,,. e q_ CA -1015 ' or : a1i; ornia 5111 d st- ct, CA -- : -
I 11
or 'Ca fern a 12'"
application, erter tre '7ederal lo-e-ntfier in acoydance witr age -,.,y
