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30. If grant funds will be used to compensate board members,provide a list of the board <br /> members who will receive compensation and include the requested details for each <br /> individual,including the amount and purpose of the compensation. <br /> ltheir role,activities,and compensation are speci tally listed Intl approved in the application. <br /> Wof Board Member _mpensated L2ampensatation Details <br /> board Mem,er Compensation Amount eCompedsation detail <br /> -cord M O.OD <br /> 9partl Member Compensation Amount OCompensation Detail <br /> Enter here 0.00 <br /> Board Member Compeasation Am ount OCompensatinn Netal <br /> Enter here 0.00 <br /> 31. Complete the remaining sections of the application by providing all requested <br /> information. Once you have reviewed your responses for accuracy and completeness, <br /> click Submit Application to submit your application for review and consideration. <br /> r CERTIFICATION <br /> 1 ♦Please read the instructions carefully and sorer the required infarmatisn. <br /> June A26 T <br /> The applicant shallsecure all necessary approvals Intl permitsfrom other attect su Mo Tu we in cr sa Fies as necessary to comply with all <br /> applicable laws and regulations.This may require permits fmm the Cepartment c NR)if parcels are within the Stafe Land <br /> Ilse Conservation Ni ictor curtain historic sites,burials,andlor sensitive natu it 1 2 s a 5 6 Ian certifies that theinformation <br /> contained in this appiwIton is tip,and correct to the best of his(h,r knowledge. 7 8 9 16 11 12 13 <br /> ik 15 1, 17 18 19 m <br /> Name of A,thorized RePresen[ativ, 21 . 23 . 26 2b 2] <br /> Authorized Rep zs zs w 1 z 6 <br /> signed by clear Today <br /> A,th-1-d!Rep mm)dd(yyyy ❑ <br />