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State of California — The Rro ources Agency <br />DEPARTMENT OF PARKS AND RECREATION <br />ROBERTI-Z'BERG URBAN OPEN -SPACE AND RECREATION PROGRAM <br />APPLICATION FOR LOCAL ASSISTANCE GRANT <br />Project Title: <br />Municipal Park --Tennis Courts Screening <br />Applicant (Agency --- address incl. zip code) <br />City of Colton <br />650 N. La Cadena Drive <br />Colton, CA 92324 <br />State Senate District No, <br />State Assembly District No <br />32nd <br />66th <br />Applicants' Representative Authorized in Resolution <br />(type) Albert A. Huntoon Mayor <br />(Name) (Title) <br />Check One <br />Block Grant El <br />Need Basis Grant ❑ <br />Estimated Total Project Cost $ 2096.00 <br />Amount of Grant Request $1572.00 <br />Amount of Matching Funds $ 524.00 <br />Source of Matching Funds <br />Park Develooment Fees <br />Project Location: <br />County San Bernardino <br />Nearest City City of Colton <br />Address and Nearest Cross Street: <br />660 Colton Avenue <br />between Carreon & "E" Streets <br />Person with day to -day responsibility for project (if different from authorized representative) <br />I,%,,e) Jennifer Thornberry Administrative Assistant <br />( Name) 'Tt'it le) <br />I• <br />Description of Project (Brief) <br />(714)370-5061 <br />(Phone) <br />714 370-5052 <br />t <br />(Phone) ---�-- <br />Wind screens/background coverings for three (3) tennis courts located in <br />Municipal Park. <br />I I certify that the information contained in this application, including required attachments, is accurate and that I have read and unde:rstarid the. <br />117rtportant rnforr n and a urar►ces on the reverse of this form. <br />I� l <br />f S'qn 12-6-83 <br />Anulicant's Authorized Representative as Shown in Resolution Date <br />I I <br />I hereby certify that the applicant has ;net, 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 (c! i <br />I I rurther cert,fy that the applicant fully understands that the State Department of Parks and Recreation will not assume any responslb;lity to � <br />(Isure rornphance th any applicable federal, t e ter local codes, I ws or regulations, but that the Department may condu,:t an audit to <br />en-:ure coinplrance. <br />l _ <br />12-6-83 <br />(Signed - Legal Counse+) Date <br />for City of Colton _ <br />'epplicant <br />OPR 632 (12/80 <br />