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RURAL FIRE DEPAUNIEN'T VOLU-IN'TEER FUZE ASS k <br /> GRANTPROJECT PROPOSAL <br /> Complete Mail or email to: Kristie Prahl <br /> MN Interagency Fire Center <br /> 402 SE 11 to Street <br /> Grand Rapids,Minnesota 55744 (218)327-4572 <br /> kristie.arahl(a)state.mn us <br /> POSTMARKED NO LATER THAN............... JUNE 19 2014+ <br /> Fir Department: Na e& Title of person filling out form: <br /> 7 - t, t 1;65 T146 r <br /> Official FD Mailing Address: Telephone: Day: <br /> LA3? �0 Night:tJS-S_6 <br /> Cell: / ��s c <br /> C'ty,State, Z' AFire Hall:FD e-mail: , e7 <br /> 1. Population directly benefiting from the project:-. (23 0 <br /> 2. Fire Department's protection area(square miles): 70 <br /> (excluding mutual,aid area) <br /> 3. Number of fire incidents for the previous year: wildland structural '" . other <br /> 4. Does the department participate in a Community Wildfire Protection Plan? Yes �f No <br /> 5. Fill in the estimated total cost of the project(s) with the dollar amount. <br /> $ t7D U Wildland Personal Protective Eci ui ment $ l3D Hose, nozzles, water movement items <br /> $ Excess Pro erty E ui ment Conversion $ Radios/pagers <br /> $ Wildland equipment $ Breathing apparatus <br /> $ Foam unit $ Structural Turnout Gear <br /> $ Slip-on-unit Wat er storage s m $ Cascade system <br /> $ Wat <br /> $ s $ Structural Equipment e specific) <br /> ste $ <br /> $ Other miscellaneous projects lease describe) <br /> Fire Department Chiefs Signature: / /�� ®� Date: <br /> OFFICE USE ONLY: <br /> GRANT APPROVED UP TO $ PRIORITY IS FOR <br /> f1PPROVAL/DATE: �� CONTRACT NUMBER T a f U 2 <br /> 1Vlodified Project: APproval/date: <br /> Exhibit A <br />