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* 1. Project Name

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* 2. Project Lead: City/County/Organization

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* 3. Point of Contact Name

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* 4. Point of Contact Email

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* 5. Point of Contact Phone

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* 6. Project Location

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* 7. Total Project Cost

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* 8. Potential Funding Sources Identified Including Sources of Match

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* 9. Project Description

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* 10. Project Timeline (include start/finish dates desired or the length of time required to execute project from start to finish)

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* 11. Measurable Project Outcomes Expected

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* 12. Number of Jobs Created as a Result of the Project's Completion

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* 13. Number of Jobs Retained as a Result of the Project's Completion

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* 14. Amount of Private Investment as a Result of the Project's Completion

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* 15. Additional Comments

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