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<br />APPUCA T'ON FORM - COMMUNITY OUTDOOR OUTREACH PROGRAM <br /> <br />I. <br /> <br />SPONSOR: . <br /> <br />Ci ty of San Marcos Parks and Recreation TPprl rtmpnt: <br /> <br />A. <br /> <br />Address: <br /> <br />630 E. Hopkins <br />San Marcos, TX <br />78666 <br /> <br />B. Federal Tax Identification Code: 74-600??3A <br />or 601 (Cl (3} or (Cl (4) exemption . (please include 14.digit tax number) <br /> <br />C. Contact Name & Phone Number: Sherrill &l1nm ~1 ?-~q~-R41 R <br /> <br />If. <br /> <br />PROJECT NAME: <br /> <br />Wilo~~~pp nPmnn~rr~tinn ~itQ <br /> <br />Ill. PROJECT LOCATION: <br /> <br />A. <br /> <br />City & County: <br /> <br />San Marcos, Hays County <br /> <br />B. ~ Legislative District Numbers: <br /> <br />1. <br /> <br />Senate: <br /> <br />1 4/1 R <br /> <br />2. <br /> <br />House: 46 <br /> <br />c. <br /> <br />Federal Congressional District Number: <br /> <br />14 <br /> <br />IV. FUNDS REQUESTED: <br /> A. Sponsor: $ 18,855.00 <br /> B. State: $ 19,880.00 <br /> c. T ota' Project: $ ~R,7~C\ 00 <br /> <br />(your cash, volunteer and in-kind resources) <br /> <br />(funding being requested from TPWD) <br /> <br />(total outlay of funds and resources by aU <br />parties; A + B) <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />To the t;lest of my knowledge and belief, an documentation In this application is true and correct, the application has been duly <br />authorized by the governing body of the lpomor, and the IporLSOr agrees to comply with all program rules and proeedurs$ If <br />grant U$istance Is awarded. <br /> <br />! Aki <br />Signat re of ~iai Authoriz in Resolution <br /> <br />Larry Gilley, City Mana~er <br />Typed Name, Title and Telephone Number <br /> <br />2-23-00 <br />Date <br />