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Fort Walton Beach Council agenda — 06-24-03 regular Council agenda — reading text
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Applicant Identifier
08104/03
1. Type of Submission: 3. Date Received by State State Application Identifier
Application: Non - Construction
4. Date Received by Federal Agency Federal Identifier
Preapplication: Non - Construction
5, Applicant Information
legal Name Organizational Unit
City of Fort Walton Beach City
Address Contact
P. O. Box 4009 Mary Cox
Fort Walton Beach, FI 32549 850-833- 9651
Okaloosa
6. Employer Identification Number ( EIN): 7. Type of Applicant:
Municipal
8. Type of Application:
Type: New
9. Name of Federal Agency:
10. Catalog of Federal Domestic Assistanca Number: 11. Descriptive Title of Applicanfs Project:
The provision of services to low/moderate income
Catalog Number:
residents of the City.
Assistance Title:
12. Areas Affected by Project:
City of Fort Walton Beach, Florida
13. Proposed Project: 14. Congressional Districts of:
Start Date End Date a. Applicant b. Project
10/01103
I 09130104 I
16. Is Application Subject to Review by State Executive Order 12372 Process?
15. Estimated Funding:
a, Federal
182, 000
Review Status: Program not selected
b. Applicant
0
c. State
0
d. Local 17. Is the Applicant Delinquent on Any Federal Debt?
0
No
e, Other
0
f. Program Income
0
g. Total
182, 000
18. To the best of my knowledge and belief, all data in this applicationlpreapplication are true and correct, the document has been duly authorized
is awarded.
by the goveming body of the applicant and the applicant will comply with the attached assurancas if the assistanca
a. Typed Name of Authorized Representative b. Title c. Telephone Number
Reid Silverboard City Manager ( 850) 833-9504
e. Date Signed
d. Signature of Authorized Representative
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