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� ��,p�a��:�>H ���� (� ���� ��rnr�►��itg� ��r��� ��ro'ir�� �r�r�4 �;��li��fifcar� I <br /> � � �°� i <br /> � Gover�heef <br /> � 4� Please refer to the Guidelines when completing the application. This form is also available on the DNR <br /> website: htta://���v��.dnr.stiat�.mn.us/c�rant�/forestmcEmt/commfioreatboncEinc� htrsjl • <br /> ����;� o _ <br /> D��AF3iP.;�t�� f�'' <br /> 4iF.fiilkki: FES�U€yCE� <br /> k.aplicant Inform�tion Da�E: November19,2010 <br /> ���an�Z�t�On: CityofCenterville - <br /> Project coordinator MikeJeziorski j�t�� Fi�a�ceDirecta <br /> , Addl'es&: 1 � 0 �;" st�eet City, Stete, Zlp Centerville, MN 55038 <br /> Phone: ss,-azs-szsz Fax: ss,.azs-aszs <br /> Email mjeziorski@centervillemn.com - <br /> Additional Project Coordinators/Technical Advisors: (List names, organization/agency and phone) <br /> Eligibility (check one): Iv K;ity �ownship �ounty � Park & Recreation Board in city of First Class <br /> Has your organization received a: <br /> DNR Community Forest Bonding grant? �✓ No �es, when? <br /> MN Dept. of Agriculture EAB grant? �No �es, when? <br /> For cities or townships only. Is your community a Tree City USA? �No DYes <br /> Proiect Information • <br /> Summary Statement—Please give a 2-3 sentence summary of your overall project. <br /> This is a tree diversification project to be completed by Philip Capra as part of his BSA Eagle <br /> Project. !f funded, Mr. Capra will be replacing 22 ash trees iocated within 4 city parks. This <br /> project is to protect and preserve the tree population of the city parks by preventing wide <br /> spread loss due to the emerald ash borer. � <br /> Location (county C�t�/� SIL@�. CityotCenlerville-LaurieLeMOttePark,HiddenSpringPerk,TrecieJoyMcBridePerkandAcomCreekPark <br /> Start date: AP�1201+ Completion Date: ��eZO <br /> Bud et Summa <br /> � T q� I�u�e! � l�moutK % eN T�1 <br /> Non-state cash contributions not re uired °/, <br /> Non-state in-kind confributions not re uired "/ <br /> Ash Tree Removal fundin re uested <br /> Tree Plantin fundin re uested 7zoo.00 % <br /> TOTAL PROJECT COSTS = �,200.00 100 % <br /> Authorization <br /> I certify this information is valid and factual as described in this application and that all costs are eligible under the DNR Community <br /> Forest Bonding Grant Guidelines. <br /> Name: M�ke�BZ�o�k� Sitle: F,�a���re�a <br /> Signature: Date: • <br /> -1- <br /> 52 <br />