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// <br /> <br />This application will need to be completed by Sherburne County cities/townships who wish to operate <br />a "Clean-Up Day" event in Sherburne County and submitted to the Zoning Office by February 29, <br />1997 in order to be considered eligible. <br /> <br /> DATE TO BE HELD: <br />APPLICANT INFORMATION <br /> <br /> Base Amount: <br />CITY/TOWNSHIP <br />CONTACT phone# <br /> <br />ELIGIBILITY CRITERIA <br /> <br />1 Are you willing to provide services to Sherbune County residents only? ~ no <br />2 Do you understand that garbage will not be accepted or reimbursed? !~) no <br />3 Do you agree to submit your event report (attached) & final invoice with receipts before Nov, 1997 ? ~ no <br />4 Do you agree to have all materials taken to licensed disposal, or recycling facilities that will process (~ no <br /> the materials in compliance with Sherburne County and Minnesota Pollution Control Rules ? <br /> <br />CIRCLE YES TO THE ITEMS THAT YOU WILL BE ACCEPTING BELOW: <br /> <br />Appliances ~ no <br />Tires ~ no <br />Mattresses/Box Springs ~ no <br />Furniture ~) no <br />Scrap Metal (~ no <br />Small Brown Goods no <br /> <br />Recyctables (paper,plastic, etc.) <br />Auto Batteries <br /> <br />Other (need approval from county) <br />~! ~ }-~ (~ ~ ~p r{~ },~! ~[q.o m county) <br /> <br />yes (~ <br /> no <br />~ no <br /> <br />As the city or township representative applying for a "Clean-up Day Grant" from Sherburne County SCORE Funds, by <br />my signature below, I agree to comply with the eligibility criteria [ have circled yes. I also agree to Follow the format <br />described in the program plan summary. Furthermore, I understand that the event collection may not be {-'unded if these <br />conditions are not followed. <br /> <br />Date <br /> <br /> <br />