Application request form for local park grant programs

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Applicant:

County:

Contact Person:

Title:

Address:

City:

Zip:

Phone Number (daytime hours):

E-Mail Address:

Project Name:

Please check the appropriate grant program (if known) and provide an estimated total cost:

Outdoor Recreation

Regional Park

Natural and Scenic Area

Park Legacy Grants

Total Estimated Cost:

Provide a brief description of the current park area (if applicable)and proposed project. For acquisition, provide the existing acres (if applicable) and acreage to be acquired.