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<br /> <br />LOCAL LAW ENFOR( ~MENT BLOCK GRANTS PROGRAM <br />LOCI. APPLICATION FORM <br /> <br />;;Zii21:;n;;;t::;;:;;::&;:~lfS::Z;;~;'* ~..,;~~~_::s~~:;, <br /> <br />Your signature represents your legal binding acceptance of the terms of this application and your statement of the veracity of the <br />representations made in this application. The document ha, been duly authorized by the governing body of the applicant and the <br />applicant will comply with the three attached forms: 1) Assurances; 2) Certifications Regarding Lobbying; Debannent, Suspension and <br />Other Responsibility Molters; and Drug-Free Workplace Requirements; and 3)Certification Regarding Public Safety Officer Health Benefits. <br /> <br />. ~<;;:'~~-::;iC7$;il'%~,:t:r:?~"''Y!mt'';)0;!~tt'4::;:);;;.;'''~,;;r~I'l'XISlli'\''::::-'':\':Fi,,~::::; ,,~t';:::,7:i)!;>\' :",,~,'I;"::!'ZV~~z'~1.'!m1Ji~~3'&Wmt3"#','I~A'y'q!F'~~E;xt""~KU~:S':,\:;;:;r~1,0;',~,:,1L~4~\q!?2L',"i::;<h~~;'):'';':': <br /> <br />< <br /> <br />:'<~"'.".~"-~"'~' "".~~~. z~~g~..%,~~..~.":=::..:,~:~~:..".:::.:..,.=,,.,~.:.,:......=~.n::Jr.~E1:=,~ . <br />CONTA~~~iF'Ili~~NTF~df~~"""""""="h..,_.",.b. ......, ., . . ......,...,....... <br />