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APPLICATION INFORMATION FORM <br />TRACKING # <br />APPLICANT 1NFORMATION <br />Locality Name CITY OF PARIS <br />11 Digit Texas I.D. # <br />756000635 <br />'PHYSICAL ADDRESS <br />Address (No P.O. Box) <br />135 S. E. lg` Street <br />City <br />State <br />Zip <br />County <br />Paris <br />TX <br />75460 <br />Lamar <br />MAILING ADDRESS <br />Q <br />P.O. Box <br />0 <br />Same <br />~ <br />H <br />U <br />City <br />State <br />Zip <br />County <br />W <br />~ <br />Short Description of Project: Construction of water line <br />Fiscal Year End 9/30 <br />improvements to benefit Daisy Farms in Paris, Lamar County, <br />Texas. <br />Type of Project <br />Infrastructure z <br />Real Estate ❑ <br />Infrastructure and Real Estate ❑ <br />CHIEF <br />ELECTED OFFICIAL <br />Z Mayor. <br />First Name <br />M. I. <br />Last Name <br />❑ Judge <br />Jesse <br />Freelen <br />Primary Phone <br />(903) 784 - 9202 Ext. <br />Secondary Phone (optional) <br />Fax (optional) <br />Ext. <br />(903)785 - 8519 Ext. <br />z <br />0 <br />F <br />Date of term expiration: <br />5/10 <br />~ <br />~ <br />E-mail address required <br />Would you prefer to be contacted by E-mail? <br />kcarruth(-paristexas.gov <br />Z Yes ❑ No <br />'MAILING ADDRESS <br />Address <br />135 S. E. 15L Street <br />City <br />State <br />Zip <br />County <br />Paris <br />TX <br />75460 <br />Lamar <br />2009 Page 8 of 55 1-30-09 <br />