Laserfiche WebLink
■ �. N .. �, ���:t {�-:.. � a , r. ice. . <br />■ 0?:0,- 0— <br />COVER. PAGE JUN ti <br />S <br />12200 <br />FY 2003 Spedal Initiative <br />Total Project Expenses <br />Project Start Date <br />Amount f re uest $ 8 o; day I yr. <br />� Project End Date I g) Ll <br />0. I yr• <br />Applicant Group � v', I k-c <br />. <br />Address- <br />Ci tyf State, Zip _!� k 1 <br />Phone _%oaj) k o(,3 Fax. %?m ) & A8 - 0 D-7 <br />E -mail i l k `Z V% - <br />t MN House District . 5 Ll A%. <br />(District nun bffs are rewired, Call House Infin7nation at 651-296-2146 Qr visit www <br />Project Contact h� 1k V�,-I <br />(The contact person should he available to amwer questions about ffiis <br />application.) <br />Phone (w) OSI <br />F � <br />E -mail k1 s <br />If your g=p is not using a fiscal agelit, this section will be blank: <br />Fiscal Agent <br />Address <br />City, State, Zip t <br />Contact Iverson <br />Phone () ( E -mail <br />Approval of licant group's Executive Director � p � � or Board Officer is required <br />• <br />i a'u Title <br />print Marne `l <br />Date <br />Complete this rrrt or generate your own finn <br />with the same inforrmation in the sameformat. <br />