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U.S. DEPARTMENT OF HOUSING AND URBAN DEV'LOPMENT <br />FEDERAL DISASTER ASSISTANCE ADMINI~ TION <br />DESIGNATION OF APPLICANT'S LOCAL AGENT <br />RESOLUTION <br />BE IT RESOLVED BY OF <br />(Coverning Body) (Public Entity) <br />~ <br />THAT <br />*(Name of/ncumhent) ~ (Official Position) <br />~ <br />(Address~ (I'elcphonc, ;vo.) <br />' <br />r~ (Sta6e) ' <br />('Lip Code) <br />is hereby authorized to execute for and in behalf of <br />, a public entity established under the laws of the State of <br />this application and to file it in the appropriate State office for the purpose of obtaining certain Federal financial assistance <br />under the Disaster Re(ief Act (Public Law 288, 93rd Congress) or otherwise available from the President's Disaster Relief <br />Fund. <br />THAT , a public entity established under the laws of the State of <br />, hereby authorizes its agent to provide to the State and to the Federal Disaster Assistance <br />Administration (FDAA), Department of Housing and Urban Development (HUD) for all matters pertaining to such Federal <br />disaster assistance the assurances and agreements printed on the reverse side hereof. <br />Passed and approved this day of , 19_. <br />(Name and Title) <br />(Name and Tit1eJ <br />(Name and Title) <br />CERTI FICATION <br />duly appointed and <br />of <br />(Title) _ <br />, do hereby certify that the above is a true and correct copy of a resolution <br />passed and approved by the af <br />(Coverning Body) (Public Entity) <br />on the day of <br />Date: <br />(Official Position) (Signature) <br />"Ncme of incumbent need not be provided in those cases where the governin,Q body of the public entity desires to authorize any incumbent <br />of the designated official position to represent it. <br />HUD-490 (6-77) <br />