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Indiana Lakes Management Society, Inc. Grant Proposal Application
Name of Project: ___________________________
Name of Organization Sponsoring Project______________________________________ ________________________________________________________________________ Type of Organization: ______________________________________________________
Contact Person & Title: ____________________________________________________
Address of Sponsor: ________________________________________________________
Phone________________________________ Fax: ________N/A_______________
Email: _____________________________________________
Project Location____________________________________________________________
Requested Amount:$_________ Total Project Cost: _________________
This application for an Indiana Lakes Management Society water quality grant is hereby submitted as authorized by the sponsoring organization.
Signature__________________________________________
Printed Name__________________________________________
Date_________________________
——————————————————————————————————————————— For Office Use Only:
Date Received______________________________ Received By________________________________
Committee Review on_________________________________
Board Review on_____________________________________ Approved Grant / Denied Grant
IDEM Approval on____________________________________
Comments_____________________________________________________________________________ |
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