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2009 RURAL FIRE DEPARTIVIENT VOLUNTEER FIRE ASSISTANCE (VFA­) <br /> MATCHING GRANT PROJECT PROPOSALS <br /> Complete and Mail to: Kristie Prahl <br /> (do not fax) MN Interagency Fire Center <br /> 402 Southeast 11th Street <br /> Grand Rapids,Minnesota 55744 (218)327-4572 <br /> POSTMARKED NO LATER THAN......... OCTOBER 1, 200841 <br /> Fire Departp}ent: N e &Title of p son filling out form: <br /> 67 Mailin ress• Telephone: Day: <br /> OA 0 �� Night:1/-54 f { <br /> C , State, Zip:/ Cell: I/J— <br /> 5611 o�S �S <br /> �9(1110 1- -�1��U�S / , � Fire Hall: <br /> J � 1 <br /> e-mail: S� - f b l of� <br /> I. Population directly benefiting from the project: 9-70b <br /> 2. Fire Department's protection area(square miles): 7 <br /> (excluding mutual aid area) <br /> 3. Number of fire incidents for the previous year: wildland structural other <br /> 4. Fill in the estimated total cost of the project(s)with the dollar amount. <br /> $ Wildland Personal Protective Equipment $ a � Hose,nozzles,water movement items <br /> $ Excess Property Equipment Conversion $ Radios/pagers <br /> $ Wildland equipment $ Breathing apparatus <br /> $ Foam unit $ Structural Turnout Gear <br /> $ Slip-on-unit. $ �jg � Cascade system <br /> $ Pumps $ Structural Equipment(be specific) <br /> $ Wildland training $ Dry hydrant <br /> $ Other miscellaneous projects (please describe) <br /> Fire Department's Authorized Signature: Date: <br /> OFFICE USE ONLY: <br /> GRANT APPROVED UP TO $ ,� ( Q,Qd PRIORITY IS FOR l% <br /> APPROVAL/DATE: //- Q Og CONTRACT NUMBER? <br /> dified Project: Approval/date <br /> Exhibit A <br />