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State of California — The Resources Agency Check One <br />DEPARTMENT OF PARKS AND RECREATION <br />ROBERTI-Z'BERG URBAN OPEN -SPACE AND RECREATION PROGRAM Block Grant Ui <br />Need Basis Grant ❑ <br />APPLICATION FOR LOCAL ASSISTANCE GRANT <br />Project Title:Three Parks - Horse Shoe Pits <br />Estimated Total Project Cost 9 4, 372 <br />Applicant (Agency — address incl. zip code) <br />City of Colton <br />650 North La Cadena Drive <br />Colton, CA 92324 <br />State Senate District No. 32nd <br />State Assembly District No. 66th <br />Applicants' Representative Authorized in Resolution <br />(type) Albert A. Huntoon <br />(Name) <br />Amount of Grant Request $ 3,276 <br />Amount of Matching Funds $ 1, 092 <br />Source of Matching Funds In -Kind <br />Services <br />Project location: <br />County San Bernardino <br />Nearest City City of Colton <br />Address and Nearest Cross Street: <br />see attached <br />Mavnr (714) 825-3110,ext-1 <br />(Title)' (Phone) <br />Person with day-to-day responsibility for project (if different from authorized representative) <br />(t,,e) Jennifer Thornberry Administrative Assistant (714) 825-3110,ext.7 <br />(Name) (Title) (Phone) <br />Description of Project (Brief) <br />Three regulation Horse Shoe Pits to be located in three separate municipal parks. <br />I certify that the informat <br />important informati i <br />Signed <br />ed in this application, including required attachments, is accurate and that I have read and understand the <br />)on the reverse of this form. <br />ica?rt's Authorized Representative as tinown in mesoiuuon <br />May 4, .1983 <br />Date <br />hereby certify that the applicant has met, or will meet, all federal, state or local environmental, public health, relocation, affirmative action, <br />and clearinghouse requirements and all other appropriate codes, laws, and regulations prior to the expenditure of the grant funds. (Public <br />Resources Code 5626 lc1 <br />further certify that the applicant fully understands tt the State Department of Parks and Recreation will not assume any responsibility to <br />ensure compliarydINith any applicable federal, state r to I codes, laws or regulations, but that the Department may conduct an audit to <br />ensure complia <br />May 49 1983 <br />(Signed — Legal Counsel) <br />for City of Colton <br />Applicant <br />DPR 632 (12/80) (over) <br />Date <br />