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N.C. Parks and Recreation Trust Fund (PARTF) <br /> Z003-2004 Applicant's Basic Facts and Assurances <br />Applicant: Cabarrus County Parks & Recreation Dept I 2. County' Cabarrus <br /> <br />3. Federal Employer ID Number (EIN): 5 6 - 6 0 0 0 2 8 1 <br /> <br />4. Contact Person: Steve Little <br /> <br /> Title: Director <br /> <br /> Telephone: 704-920-3352 <br /> <br /> E-Mail: sllittle~co.cabarrus.nc.us <br /> Fax Number: 704-920-3358 <br /> <br />5. Chief Elected Official: Robert M. Freeman <br /> <br /> Title: Chair, Cabarrus Co Board of Commissioners <br /> <br />6. Local Government's Manager: John Day, Co Manager <br /> Street Address: 65 Church St S <br /> <br />City: Concord <br />P.O. Box: 707 <br />City: Concord <br /> <br />Zip Code: 28025 <br /> <br />Zip Code: 28026-0707 <br /> <br />Telephone Number: 704-920-2100 <br /> <br />7. Title of Project: Pharr Mill Road Park <br /> <br />8. Grant Type (check all that apply): <br /> a. __ Acquisition <br /> b. ,/ New Construction <br /> c. ,/ Renovation <br /> <br />9. Site Cr, atrol: <br /> a. ,/ owned by the local government <br /> b. ~ owned by school board <br /> c. leased by applicant for 25 years or more. <br /> Date lease expires: <br /> <br /> 10. Recreation Resources Regional Consultant: Charlynne Smith <br /> <br /> 11. Provide a brief description of the proposed project: <br />Development of a new park which includes restroom with vending area and picnic <br />shelter, picnic sites, grills, park benches, horseshoe pits, walking trails, etc. <br /> <br /> 12. Costs Rounded to the Nearest Dollar: <br /> PARTF Funds Requested $ 250,000.00 <br /> Matching Funds $_250,000.00 <br /> Total Cost of Proposed Project $ 500,000.00 <br /> <br />13. Approval by governing board: <br />"I hereby certify the information contained in the attached application is true and correct and the 50% required <br />matching funds will be available during the project period.~ <br /> <br />Adopted this ~ day of 200 ~ <br />(The local governing board must approve this certification.) <br /> <br />Chief Elected Official: <br /> <br />(Signature) <br /> <br />Robert M. Freeman, Chair, Board of Commissioners <br /> (Print or Type Name and Title) <br /> <br />For applications sponsored by two or more local govemments, or a local government and school administrative unit, <br />one copy of this form must be completed and signed by each applicant. One of the local governments must be <br />~dentified as the primary sponsor of each project. <br /> <br />2 <br /> <br /> <br />