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25..f'.,k C6 <br /> C. PROJECT NAME (see Instructions): <br /> Pohoiki Management <br /> D. PROJECT LOCATION (Use TMKs. See Instructions) <br /> 1-3-008-097 <br /> E. PROJECT COST (see Instructions): <br /> For Management Planning For Maintenance Activities and Public Education <br /> Amount Requested: 170000 Amount Requested: 67000 <br /> Applicant Share: 2 5 o o o Applicant Share: 18000 <br /> Other Resources: 1500C Other Resources: 5000 <br /> F. REQUIRED DOCUMENTS: <br /> ❑ Non-profit 501 (c)(3), IRS Letter of Determination <br /> ❑ Copy of Organization Bylaws and Mission Statement <br /> ❑ DCCA Certificate of Vendor Compliance <br /> ZLetter of Authorized Signer for Organization <br /> G. CERTIFICATION: <br /> The applicant shall secure all necessary approvals andpermits from other affectedfederal, state, and county <br /> agencies as necessary to comply with all applicable laws and regulations. This may require permits from the <br /> Department of Land and Natural Resources (DLNR) if parcels are within the State Land Use Conservation <br /> District or contain historic sites, burials, and/or sensitive natural or cultural resources. The applicant certifies <br /> that the information contained in this application is true and correct to the hest of his/her knowledge. <br /> Name of Authorized Representative: <br /> Title: <br /> Signed: Date: 09/03/2024 <br /> FINAL 2025 Stewardship Grant Application,Page 2 of 13 <br />