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Home My WebLink AboutC02-068 Division of Wildlife Impact Assistance Grant Applicationr EM 0-0171 _& 'i�' —Lf Y, C"', COLORADO DIVISION OF WILDLIFE IMPACT ASSISTANCE GRANT APPLICATION AUTHORIZED BYC.RS. SECTION 30 -25 -302, AS AMEM)ED Date- J2� 7— County =L Tax Year 2CC) I Total Acres Included in this Application Total Amount Requested County Commissioners: Signature Revised 11196 /l1 L► I -Z • Michael L. Gallagher Printed Name Arn M. Menconi Printed Name Tom C. Stone Printed Name TOTAL MILL LEVY FOR THIS TAXING AREA AMOUNT REQUESTED Revised 11/96 �c