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Safety
Physical Activity and/or Healthy Eating
Environmental Stewardship
Neighborhood Beautification
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Group Name
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If your group is not a non-profit, HOA or formal entity, please provide the name of the organization that can act as fiscal agent.
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Contact Person #1 Phone Number and Email Address
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Contact Person #2 (if application) Phone Number and Email Address
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Name of Organization
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What type of project are you submitting? (Select all that apply)
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Project Description
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What problem, need, and/or opportunity does this project address?
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How has your group engaged with the community about this project idea? What has been done to assure neighbors of supportive of this project?
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Amount Requested and Cost Estimate - Please provide detailed bids, specifications and/or budget for the project.
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Cost Share Proposal: Amount and percentage of total cost provided by applicant.
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Site Plan and Photos
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What is the anticipated timeline for starting and completing this project?
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Proposed Maintenance/Management Plan
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