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<br />~, i, ~:~~ : '!~ <br />~ ,. .--" . <br /> <br />.:':\ <br />..,) <br /> <br />Minnesota ReLeaf Community Forest Development and Protection <br />2003 - 2005 Pre-Application - Due: March 31, 2003 <br /> <br />Note: Completion of this form is voluntary. Information will be used to determine recipients that will <br />receive application packets and identify those communities that need support with the grant applications. <br />Submitting this form does not obligate you to apply for a grant. Regional workshops on grant writing and <br />DNR funding opportunities will be provided in May 2003. <br /> <br />Date: <br /> <br />1. Applicant Name(s) <br /> <br />2. Applicant is a (check all that apply) <br />City Township County <br /> <br />Tribal Government <br /> <br />School <br /> <br />Non-profit <br /> <br />3. Contact Person: <br /> <br />Title <br /> <br />Address <br /> <br />City: <br /> <br />State: <br /> <br />Zip: <br /> <br />County: <br /> <br />Phone: C_) <br /> <br />FAX: <br /> <br />E-mail: <br /> <br />Legislative District: <br /> <br />4. Project title: <br /> <br />5. Project Description: Briefly describe the project, including what YOll expect to be developed. produced, <br />performed and/or implemented. The project must reflect the categories listed on the reverse side. One or <br />//lore categories may be included. <br /> <br />6. I would like some assistance with the full grant application: <br /> <br />yes <br /> <br />no <br /> <br />7. Grant request: Category 1: Forest Health Protection <br />Category 2: Community Forestry Assessment <br />Category 3: Tree Planting <br /> <br />Anticipated Match: $ <br /> <br />Pre-application deadline: March 31, 2003 <br />