| OCR Text |
Show Date Received __________________ RE(~E~VED AUG 1 u1988 PERMANENT COMHUUITY IMPACT FUND APPLICATION FORM PART A. 1. GENERAL INFORMATION APPLICANT. Name: ________ Ep_h_r_a~i-m~C-i~t~y------~~----~----------------------- (County. Municipality. Special Service. Water. or Sewer District. Etc.) Address: _____ Ep~h_r_a_i_m__ C_it~y~H~a~l~l___________________________________________ City: ____-LEp~hwr~a~j~m~,--------- County: Sanpete Zip: 84627 2. PRESIDING OFFICIAL. Name and Title: _______Ro_b_e_r_t_W_a_r_n_i_c_k_._M~_y_o_r_____________________ 3. RECORDER/TREASURER. Name and Title: _____A_r_l_e_n_e_D_e_L_e_e_uw__,_R_e_c_o_r_d_e_r___________________ 4. CONTACT PERSON. Name and Title: 5. G. Allen Fawcett, Dir., Planning & Ec. Dev. Office Address: Box 725 City: Richfield ENGINEER. Name: Zip: 8470] Phone: ___~8~9~6-~9~2~2~2~_______ None Company: Address: City: 6. FINANCIAL CONSULTANT. Name: Zip: ____ Phone: ___________________ Zip: _ __ Phone: ________________ None Company: Address: City: CfI· |
