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06 ATTACHMENT
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2007
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110607
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06 ATTACHMENT
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Last modified
11/1/2007 3:05:03 PM
Creation date
11/1/2007 1:38:39 PM
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CITY CLERK
CITY CLERK - TYPE
STAFF REPORTS
DOCUMENT DATE
11/6/2007
DESTRUCT DATE
15 Y
DOCUMENT NO
06 ATTACHMENT
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THE CITY OF <br />~ -. r ~ ~i~~(' 1 iii <br />j~L£ ~S~NTONo <br />City Grant Application for Funds <br />Fisca/ Year 2008/09 <br />1. Please check one funding category: ^ Civic Arts ^ Human Services ^ Youth <br />2. Please check one expense category: ^ Seed ^ Capital ^ Operating <br />3. Applicant Information: <br />Organization, Agency Name <br />Mailing Address <br />Street Address <br />City State CA Zip <br />Executive Director/Chairperson Daytime Phone Email <br />Board President (if applicable) Daytime Phone Email <br />Please identify a Primary Project Contact Person below who would receive all related <br />correspondence and be able to answer questions about the Application and the Project <br />throughout the fiscal year. <br />Contact Person for Project ]ob Title <br />Mailing Address <br />Daytime Phone Email Fax <br />Nonprofit Identification No. (required) <br />City of Pleasanton Business License No. (required) <br />2 <br />
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