OMB Approval No. 0348-0043

**APPLICATION FOR**

  ------------------------
  **FEDERAL ASSISTANCE**
  ------------------------

2\. DATE SUBMITTED

  --
  --

Applicant Identifier

  --
  --

1\. TYPE OF SUBMITTING:

Application

9 Construction

  --------------------
  9 Non-Construction
  --------------------

Preapplication

9 Construction

  --------------------
  9 Non-Construction
  --------------------

3\. DATE RECEIVED BY STATE

  --
  --

State Application Identifier

  -- --
     
     
  -- --

4\. DATE RECEIVED BY FEDERAL AGENCY

  --
  --

Federal Identifier

+-------------------------------+
|   --                          |
|   --                          |
|                               |
| 5\. **APPLICANT INFORMATION** |
+-------------------------------+
|                               |
+-------------------------------+

Legal Name:

  --
  --

Organizational Unit:

  --
  --

Address (give city, county, State, and zip code):

  --
  --

Name and telephone number of person to be contacted on matters involving
this application (give area code)

  --
  --

6\. **EMPLOYER IDENTIFICATION NUMBER** (EIN):

  ------------
  99-9999999
  ------------

7\. TYPE OF APPLICANT: (enter appropriate letter in box) 9

A. State H. Independent School Dist.

B. County I. State Controlled Institution of Higher Learning

C. Municipal J. Private University

D. Township K. Indian Tribe

E. Interstate L. Individual

F. Intermunicipal M. Profit Organization

  ---------------------------------------------------------------------------------
  G. Special District N. Other (Specify) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
  ---------------------------------------------------------------------------------

8\. TYPE OF APPLICATION:

9 New 9 Continuation 9 Revision

If Revision, enter appropriate letter(s) in box(es) 9 9

A. Increase Award B. Decrease Award C. Increase Duration

D. Decrease Duration Other (specify):

  -------------------------------------------------------------------------------------- --
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_   
                                                                                         
  -------------------------------------------------------------------------------------- --

9\. **NAME OF FEDERAL AGENCY:**

  --
  --

10\. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:

99-999

  --------
  TITLE:
  --------

11\. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:

  --
  --

12\. Areas affected by project (Cities, Counties, States, etc.):

  -- --
     
     
  -- --

13\. PROPOSED PROJECT

  --
  --

14\. CONGRESSIONAL DISTRICTS OF:

  --
  --

Start Date

  --
  --

Ending Date

  --
  --

a\. Applicant

  --
  --

b\. Project

+-------------------------+---+
|   --                    |   |
|   --                    |   |
|                         |   |
| 15\. ESTIMATED FUNDING: |   |
+-------------------------+---+

16\. IS APPLICATION SUBJECT TO REVIEW BY STATE

EXECUTIVE ORDER 12372 PROCESS?

a\. YES. THIS PREAPPLICATION/APPLICATION WAS MADE

AVAILABLE TO THE STATE EXECUTIVE ORDER 12372

PROCESS FOR REVIEW ON:

DATE \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

b\. NO. PROGRAM IS NOT COVERED BY E.O. 12372 OR

PROGRAM HAS NOT BEEN SELECTED BY STATE FOR

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| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <tr         |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | c           |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | lass="odd"> |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <td><p>REVI |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | EW</p></td> |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tr>       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <tr         |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | cl          |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | ass="even"> |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <td></td>   |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tr>       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tbody>    |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </table>    |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <p>a.       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | Feder       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | al</p></td> |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tr>       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tbody>    |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </table>    |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
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| |                                                                    |
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| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
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| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <p>$        |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
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| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
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| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
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| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
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|  | | |                                               |   | | |   | | |
| |                                                                    |
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| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <           |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
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|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
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| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | sup>.00</su |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
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| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | p></p></td> |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <td></td>   |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tr>       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <tr         |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | cl          |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | ass="even"> |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <td></td>   |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | <td></td>   |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tr>       |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </tbody>    |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | </table>    |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | |             |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | b\.         |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | | Applicant   |   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | +-------------+   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | \$ ^.00^          |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | +-------------------+---+ | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                   |   | | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | +-------------------+---+ | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                           | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                           |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | c\. State                 | |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | +-                          |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | --------------------------+ |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                             |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | \$ ^.00^                    |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | +-----------------------------+---+ | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                             |   | | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | +-----------------------------+---+ | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                     | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                     |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | d\. Local                           | |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | +-                                    |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | ------------------------------------+ |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                       |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | \$ ^.00^                              |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | +---------------------------------------+---+ | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                       |   | | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | +---------------------------------------+---+ | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | |                                               | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | e\. Other                                     | |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | +-                                              |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | ----------------------------------------------+ |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | |                                                 |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | \$ ^.00^                                        |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | +-------------------------------------------------+---+ | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | |                                                 |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | +-------------------------------------------------+---+ | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  |                                                         | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | f\. Program Income                                      | |   | | |
| |                                                                    |
|  | +-                                                        |   | | |
| |                                                                    |
|  | --------------------------------------------------------+ |   | | |
| |                                                                    |
|  |                                                           |   | | |
| |                                                                    |
|  | \$ ^.00^                                                  |   | | |
| |                                                                    |
|  +-----------------------------------------------------------+---+ | |
| |                                                                    |
|  |                                                           |   | | |
| |                                                                    |
|  +-----------------------------------------------------------+---+ | |
| |                                                                    |
|                                                                    | |
| |                                                                    |
|  g\. TOTAL                                                         | |
| +                                                                    |
| -------------------------------------------------------------------+ |
|                                                                      |
| \$ ^.00^                                                             |
+----------------------------------------------------------------------+

17\. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?

+------------------------------------------------------------+---+---+
|   ---------------------------------------------            |   |   |
|   9 Yes If "Yes," attach an explanation. 9 No              |   |   |
|   ---------------------------------------------            |   |   |
|                                                            |   |   |
| 18\. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN   |   |   |
| THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE  |   |   |
| DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF |   |   |
| THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE       |   |   |
| ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.          |   |   |
+------------------------------------------------------------+---+---+
|                                                            |   |   |
+------------------------------------------------------------+---+---+

a\. Type Name of Authorized Representative

  --
  --

b\. Title

  --
  --

c\. Telephone Number

  --
  --

d\. Signature of Authorized Representative

  -- --
     
  -- --

e\. Date Signed

  --
  --

Previous Edition Usable Standard Form 424 (Rev. 7-97)

Authorized for Local Reproduction Prescribed by OMB Circular A-102

+----------------------------------------------------------------------+
| +                                                                    |
| -------------------------------------------------------------------+ |
| |                                                                    |
|  +-----------------------------------------------------------+---+ | |
| |                                                                    |
|  | +-                                                        |   | | |
| |                                                                    |
|  | --------------------------------------------------------+ |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | +-----------------------------------------------------+ | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | +-----------------------------------------------+   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | +-----------------------------------------+   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | +-----------------------------+         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | | INSTRUCTIONS FOR THE SF-424 |         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | +-----------------------------+         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | |                             |         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | +-----------------------------+         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | Public reporting burden for this        |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | collection of information is estimated  |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | to average 45 minutes per response,     |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | including time for reviewing            |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | instructions, searching existing data   |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | sources, gathering and maintaining the  |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | data needed, and completing and         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | reviewing the collection of             |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | information. Send comments regarding    |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | the burden estimate or any other aspect |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | of this collection of information,      |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | including suggestions for reducing this |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | burden, to the Office of Management and |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | Budget, Paperwork Reduction Project     |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | | (0348-0004), Washington, DC 20503       |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | +-----------------------------------------+   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | |                                         |   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | +-----------------------------------------+   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | **PLEASE [DO NOT]{.underline} RETURN YOUR     |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | COMPLETED FORM TO THE OFFICE OF MANAGEMENT    |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | AND BUDGET. SEND IT TO THE ADDRESS PROVIDED   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | | BY THE SPONSORING AGENCY.**                   |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | +-----------------------------------------------+   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | |                                               |   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | +-----------------------------------------------+   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | |                                                     | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | This is a standard form used by applicants as a     | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | required face sheet for preapplications and         | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | applications submitted to Federal assistance. It    | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | will be used by Federal agencies to obtain          | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | applicant certification that States which have      | | |   | | |
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|  | |                                                         |   | | |
| |                                                                    |
|  | | established a review and comment procedure in       | | |   | | |
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|  | |                                                         |   | | |
| |                                                                    |
|  | | response to Executive Order 12372 and have selected | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | the program to be included in their process, have   | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | been given an opportunity to review the applicant's | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
| |                                                                    |
|  | | submission.                                         | | |   | | |
| |                                                                    |
|  | |                                                         |   | | |
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|  | +-----------------------------------------------------+ | |   | | |
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|  | |                                                         |   | | |
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|  | |                                                     | | |   | | |
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|  | |                                                         |   | | |
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|  | +-----------------------------------------------------+ | |   | | |
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|  | |                                                         |   | | |
| |                                                                    |
|  | Item                                                    | |   | | |
| |                                                                    |
|  | +-                                                        |   | | |
| |                                                                    |
|  | --------------------------------------------------------+ |   | | |
| |                                                                    |
|  |                                                           |   | | |
| |                                                                    |
|  | Entry                                                     |   | | |
| |                                                                    |
|  +-----------------------------------------------------------+---+ | |
| |                                                                    |
|                                                                    | |
| |                                                                    |
|  Item                                                              | |
| +                                                                    |
| -------------------------------------------------------------------+ |
|                                                                      |
| Entry                                                                |
+----------------------------------------------------------------------+
|                                                                      |
+----------------------------------------------------------------------+

1\.

2\.

3\.

4\.

5\.

6\.

7\.

8\.

9\.

10\.

  ------
  11\.
  ------

Self-explanatory.

Date application submitted to Federal agency (or State if applicable)
and applicant's control number (if applicable).

State use only (if applicable).

If this application is to continue or revise an existing award enter
present Federal identifier number. If for a new project, leave blank.

Legal name of applicant, name of primary organizational unit which will
undertake the assistance activity, complete address of the applicant,
and name and telephone number of the person to contact on matters
related to this application.

Enter Employer Identification Number (EIN) as assigned by the Internal
Revenue Service.

Enter the appropriate letter in the space provided.

Check appropriate box and enter appropriate letter(s) in the space(s)
provided:

-- "New" means a new assistance award.

-- "Continuation" means an extension for an additional funding/budget
period for a project with a projected completion date.

-- "Revision" means any change in the Federal Government's financial
obligation or contingent liability from an existing obligation.

Name of Federal agency from which assistance is being requested with
this application.

Use the Catalog of Federal Domestic Assistance number and title of the
program under which assistance is requested.

Enter a brief descriptive title of the project. If more than one program
is involved, you should append an explanation on a separate sheet. If
appropriate (e.g., construction or real property projects), attach a map
showing project location. For preapplications, use a separate sheet to
provide a summary description of this project.

  -- --
     
  -- --

12\.

13\.

14\.

15\.

16\.

17\.

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  18\.
  ------

List only the largest political entities affected (e.g., State,
counties, cities).

Self-explanatory.

List the applicant's Congressional District and any District(s) affected
by the program or project.

Amount requested or to be contributed during the first funding/budget
period by each contributor. Value of in-kind contributions should be
included on appropriate lines as applicable. If the action will result
in a dollar change to an existing award, indicate only the amount of the
change. For decreases, enclose the amounts in parentheses. If both basic
and supplemental amounts are included, show breakdown on an attached
sheet. For multiple program funding, use totals and show breakdown using
same categories as item 15.

Applicants should contact the State Single Point of Contact (SPOC) for
Federal Executive Order 12372 to determine whether the application is
subject to the State intergovernmental review process.

This question applies to the applicant organization, not th person who
signs as the authorized representative. Categories of debt include
delinquent audit disallowance, loans and taxes.

  -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.)
  -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Standard Form 424 (Rev. 7-97) Back