Fergus County Capital Improvement Plan
Project Request Form
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Department / Organization *
Contact *
Telephone *
Email *
Type of Project
Description and justification of project (include a description of the existing system to be replaced, if any):
Estimated cost of project (if available)
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.
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.
What are the consequences associated with not completing this project?
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