Fort Walton Beach Council agenda — 06-02-09 special — reading text

t, NC - 103 fo- Nortn Carolina s d st-._- S - 1 smcc n5, ructicns. 4 14. 3 congress ianal dist, a :* s in -, sta* e -, 17e affel.- ed, enter all' for t.-e dist,7 ct number e. g MD -al'i for all 6. Date Received by State: Leave this f eldt, ank. This date iii be 35signed by V,.e Efate, if applicable ccesressional districts sr, Mari ' and. 4 11 -, atcnwide e. al distrl,.ts w* hin all states ars xfe,:ted, T. State Application Identifier: Leave -his yield blank. - h s dentfier iv enter ) S- all t_- e ass fined y tie Slate, if applicable. 4 F -,he progran-v'7,ojeci s outside th ,-_U S, enter CZ- 0D.D. S. Appfitant Information E- ter t?!e - Dllow rig ,,- accnc- cancce wh agency ns,.ruc.icns: a. Legal Name Requin..,: Enter he e-gal rarre of apc• can, 11a. will 17. Proposed Project Star, and End Dates: iRecwred; Er1i° "he undertake t"=- ass s- anos actvitv. This is * he - ar- e that tri, crqa- 4' 3- ion procesed s*ar date ind no . ate : of the ec,". as reg slels-,-wt, the Cenral Inlorri- avc- on e s*;er,nq %Y, h C CR may be obtained by Y siting ~he (37irans pov webs e b. Employer(Taxpayer Number ( EINs7IN): iRequired; -=- ter L,, E r derinficator Nunber',-E-IN ice TIN.; as assigned bye E1,lp dyer or T axpay=_ 12, Estimated Funding: ' Requtre-: Ewer the arrcx.: rt requi. 5te: he 1- tema Reve-.- E Service. if your r- eganizaticz- is no* r -he JS e- wer or to be - c - rbu oed curing the f ~st fund'ng: budgel renod -Wy 44444-4444. each ccn- ribwor. Value o' in- kind c.:- rbwions should be onal DUNS, " Required, En er the organizat or, s C JNSy c. Organizational included on ;, ppropr,,ae net -.415 appl, cable f t,- act - WO D,,; N S + 4 - ' uniber received frorr Dun and S- adsireet. Worma*icn on result in a zoi'ar - hang= tc an ecsnng 3via-_ nvica-e only tree anioun, cO ; he charge. For aeg :reases, enc cse t- T amoun" s kn obli n - g a C alt' S ruribs, may be obtained ty v sit hg he Grants gov website, parer- heses. d, Address: En*er *he c.,onipice address as foRatis: S reet aad-=-ss, e I edl, City : Requ - eci, Countq, Smte ( Required f couniri is S), reo, • 11, 9. Is Application Subject to Review by State Under Executilve rov - ce Goun! ry iRequired: Zip Pos*;al Cc ,' Requirii w, s Order 12372 Process? App canrs would - cn*ac- the State is: 1nge Pcm of' Cortact 1SPDX) for Fe"zeral E-Executve Order e. Organizational Unit-, En- er*.he narre of the pfirrary organ national nit land depar,,,me-n1 or ,: ivision if , hat will urcert,34.,e the L  assistance f applicable. Stak- imergovernwenta re%niew prcces5 C-c- the f. Name and contact information of person to be contaoted on appropriate box. 14 ' a.* s se ted, enter the dats ti e m atter5 involving th i-s application Enter Vie name i F rst and last riarne app caion was submired tc tne 3' ate, equired'.. organiza!zicna affiliation ( if affiliated iuith an cirganiza. ion ot, r than trs app cant organizaticri . lelep?,.- one miiliber (Required I- fax M Is the Applioant Delinquent on any Federal Debt? rurn:lver, and eria,. address ; Require-,- ,of the person to conzac^ on iRequirsd) Select tine a; propriate try- This queston al =lies to mate ^ s related to !,his apc,lic.ation he applic-art! orvanizator, not the ;,,-:rsc.- who signs as he aurhorized represeermaive. Categc- es of deb- ;n: lude del - cuent audi, cisa owances, Iaans and taxes. f yes, include an explariz;ncn on ths contr%aucn s. eet. T,ype o- 'Ac- c, , an;: n-,: tRequired: Aufficrized RepresentatNe ' Requ ' 7o c signea, and 2-eiecr , P - o : hre--- applizam ty=pes; in 3ccvoH.anoe wiv! a9sr,,-. y dated by t- e authorized repres'snta-.ive cf he applicant ns* ructiens. crga" za, ion, = nr.er the narr e ; First and arnz-,-requ 3 -ate '13overnmen! M. Nonprof 5,' 1 C321 I RS itle iRepoired: elephcrs number iPe paired i ` a, number 2. Ciounty Govsrnment Status the 7 tm ar, Insb" utcr and e'rr,x! as fires s Re,.- Fr d' of the person aLlc r,ze: to s, gn C Cary or TowrisKp Gc-dernment of =4igher Eduoa,*, ic-' or the applicant D Sz* ciai Csthcc: ';_ nYemiien, N. Nonprof : &- hou, _E_"C3 FIRS A ccory of t^e go oerning body' s auhorzatc- ' oryou i: spr 7 egional Organ za: ion St3lus :::, 1her t,,ar lnSt' Lit C..' lh s appocat onas, he offic a* 1eCTess- j*1vz_-r" u5' :, e- cn f e n r F. 2. - errlory or Pcssession of - tgher Educ3ticr" O+f,-.e = CertaM Fece- a age-,:, e-,s piay re,,-, re I.; ridepencent Sc,"col District 0. Pri -;ate lrsr&Aon of H pher hat t^ s€ autr oriz-3-Jon be submitec as par, .:f the app : ation k H" Sta,,,e Ccrircllec Educaton a. nvft, tic- w; -- igher Eduoacr, ira I ndianMative Arnerican Thba 0 For-Prof t Organizatc- 3cvemmen* f;: edera y O*herthan 3rraf) 9 s; nEssi Reoognizzec' i R Small B J sin ess J ridianMative Amencan Thba 3, H sparc-sery - g nsti- ojor Gc,oemmem. '0 ;her thar T, H s! oricalfy Black Co, eges zederally Recognized'i and U- versites ! HS CU s: ndian: tOtive Annencain J. T, t= ally Conn=.ied Colleges TribaNy Oes gnated and U- versles :- CCJsi fir. 0n a n i za: i o n Alaska N ative and Nat ve 1. r, -..'Inca n Ha, vai ar, Senjing lmstlu ions Au,.hor7y VV. N; n- torr es- ic iIncn- JS: E n" ity X Ot er ',specifyl  PZ Q' tEN70Fy0 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT WASHINGTON, DC 20410 -7000 2 Il ll l c B4k OFFICE OF THE ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT May 1, 2009 The Honorable Michael Anderson Mayor of Fort Walton Beach PO Box 4009 Ft. Walton Beach, FL 32549 Dear Mayor Anderson: I am pleased to inform you that the Department of Housing and Urban Development' s Fiscal Year (FY) 2009 budget has been enacted and