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APPLICATION FORM <br />- FART I - <br />GENERAL <br />INFORMATION <br />TEXAS RECREATION <br />& PARRS <br />ACCOUNT <br />PROGRAM <br />I. SPONSOR: <br />A. Address: <br />C. <br />Federal Tax Identification Code: <br />Contact & Phone Number: <br />II. PROJECT NAME: <br />III. PROJECT LOCATION <br />A. City & County: <br />B. State Legislative Districts <br />1. Senate: <br />2. House: <br />C. Federal Congressional District: <br />IV. FUNDS REQUESTED <br />A. Sponsor (50 %): <br />B. State (501): <br />C. Total Project: <br />To the best of my knowledge and belief, all documentation in this application is true and correct, the <br />application has been duly authorized by the governing body of the sponsor, and the sponsor agrees to comply with <br />all program rules and procedures if grant assistance is awarded. <br />Signature of Official Authorized in Resolution <br />Typed Name, Title and Telephone Number <br />Date <br />37 <br />1...M 11.,1.1 �: Ned i <br />