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o F'0MM=A1flW <br />�� n <br />Safe Neighborhood Parks (SNP) Bond Program <br />Challenge Grant <br />Application Form <br />I. TYPE APPLICATION (Check Only One) <br />( x) Natural Areas & Open Space Land Acquisition <br />( ) Land Acquisition/Construction/Development of Youth Recreation & <br />Service Facilities <br />II. APPLICANT INFORMATION <br />A. Applicant (Agency Name) CITY OF SUNNY rSLFS RF.Ar'B <br />Joint Applicant Name (If Applicable) <br />B. Contact Person JAMES DIPIETRO Title CITY MANAGER <br />Mailing Address 17070 r•nl l i nn Avenue Sui to 250 <br />City Sunny Isles Beach <br />State Florida <br />Zip Code 33160 <br />Telephone 305/947-0606 Fax 305/949-3113 <br />C. Applicant/Joint Applicant Certification <br />I hereby certify the information provided in this application and any <br />attachments is true and accurate. I further certify that I possess the authority <br />to apply for this grant on behalf of the applicant/joint applicant. <br />1 <br />Si ature of Authorized Representative D to <br />Signature of Authorized Representative Date <br />(Joint Applicant) <br />III. GRANT OVERVIEW <br />A. Grant Title (Park Name) SUNNY ISLES OCEANFRONT PARR <br />B. Park Address 17425 Collins Avenue, Sunny Isles Beach <br />1 <br />C. County Commission District(s) where park is located 4 <br />Page 1 of 8 <br />