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Fergus County Capital Improvement Plan
Project Request Form
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Department / Organization
*
Your answer
Contact
*
Your answer
Telephone
*
Your answer
Email
*
Your answer
Type of Project
Equipment Purchase
Facilities - Maintenance or Upgrade
Facilities - New Construction
Property - Parks, Trails, Etc.
Transportation Infrastructure - Roads, Bridges, etc.
Other:
Description and justification of project (include a description of the existing system to be replaced, if any):
Your answer
Estimated cost of project (if available)
Your answer
By what date would you like to complete this project?
MM
/
DD
/
YYYY
In your opinion, how do you see this project being funded? (For example, Operating Budget, reserve funds, grant funds, etc.) Describe any recent attempts to fund the project.
Your answer
Will this project require additional yearly maintenance, fixed costs, personnel, or require additional supplies on a yearly basis? If so, please explain and provide an opinion of increased yearly costs.
Your answer
What are the consequences associated with not completing this project?
Your answer
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