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<br />DIRECTIONS <br />In orderto be determined eligible for a Landfill Legacy Grant through Sherburne County, applicants must <br />complete this application form. To be considered for funding, you must not be in violation of any local, <br />County or State rules, statutes, or requirements. Incomplete applications will not be reviewed! <br />Funding consideration of your request will be based on whether or not the project meets the minimum <br />eligibility requirements identified and the project criteria that Sherburne County established in 2006. <br />Please complete the entire application and feel free to contact the Sherburne County Zoning Department <br />if you have any questions @ 763-241-2900. <br /> <br />Due Date: April 16, 2007 <br /> <br />Date Received by Sherburne County: <br /> <br />I. APPLICANT INFORM A TlON <br /> <br /> <br />Zip <br /> <br />Phone # <br /> <br />fax # <br /> <br />II. BUILDING PROJECT DESCRIPTION (Attach additional sheet if necessa/Y) <br /> <br />1. Please describe the building project and what the intended use is. <br /> <br />2. Is your municipal building a joint project? Yes_ No_ If yes, please list all partners (City, <br />Township) <br /> <br />3. What area(s) of Sherbume County will your building project serve? <br /> <br />4. What is the schedule of your municipal building project? <br /> <br /> <br />I Begin Date: <br /> <br />End Date: <br /> <br />Page 4 of6 <br />Sherburne County's Landfill Abatement Legacy Grant Application <br />