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1/11/2007 5 <br /> <br />E. ACKNOWLEDGEMENT AND CERTIFICATION <br />The undersigned, a duly authorized repres entative of the Applicant, hereby <br />certifies that the foregoing information is true, correct and complete as of the <br />date hereof. <br /> <br />The Applicant acknowledges and agr ees that the $________ application fee <br />is to be deposited with the HRA in acco rdance with the Letter of Agreement. <br />Date _____________________ <br />Applicant: _____________________ <br />By: _____________________ <br />Its: _____________________ <br /> <br /> <br /> <br /> <br />------------------------------------------------------------------------------------------------------------ <br /> <br /> <br /> <br />The signature below indicates: <br />1) acknowledgement of receipt of this application and Letter of Agreement; <br /> and <br />2) authorization to establish an initial Preliminary Planning Fund budget in <br /> the amount of $__________. (Tied to Prel iminary Development <br />Agreement) <br /> <br /> <br />By: ____________________________________________ <br />HRA Executive Director <br /> <br />Date: ____________________ <br /> <br /> <br /> <br /> <br /> <br /> <br />Drafted by: <br /> <br />