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Show 3. FOR REQUESTS EXCEEDING 1500,000 ONLY. ' All jurisdictions requestint funds in excess of '500,000 are required to hold a formal public hearin& to solicit comments from citizens. Attach a copy of the Sotice of Public Hearing and a copy of the transcript of the hearin&. 4. THIS APPLICATION WILL BOT BE CONSIDERED UNLESS ALL SECTIONS ARE COMPLETED . EXCEPTIOH: SECTIOBS B • & 5; D 2-7; A!lD E llEED SOT BE COMPLETED F9R PLANNIHG GRANTS OR STUDIES. IF ATTACHKKHTS ARE ADDED, REFER TO THEM IS THE APPROPRIATE · SECTlOHS. PHOTOGRAPHS, DIAGRAMS, MAPS A!lD SIMILAR EXHIBITS ARE SUGGESTED WHERE APPLICABLE. s. Robert Warni ck Mayor_ 1, ________________________ • t h e ____________ ~______~--~------------- (mayor, county commission chairman> _________________________o,f Ephraim City do hereby certify that the above presented information is accurate and correct. Si&nature, Chief Elected Official Robert Warni ck, Mayor Ephrajm. IItah "i?-17 -~ Date: PART H. 1. DeED 84627 Date: __~~~·_-_/_7 __~~f_·~f_________________ USE OB'LY Pe~its and approvals required -- water, sewer, etc. Itff |