City Council Agenda and Packet 2010 07 06

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Please note that this application form is revised from previous versions. Only this revised version may be used for grant requests submitted for the April 1, 2010grant deadline. Please use 12 point Times New Romanfont Please do not attach a cover letter 1. Grant Type: The grant type you choose reflects the amount requested. Grant requests of $35,000 and less are reviewed by three panels, and awards are announcedtwo months after submission. Grant requests of over $35,000 are reviewed by four panels, and awards are announced four months after submission.Special Initiatives Grant projects may request up to $500,000, have additional questions requiring an attachment to this application, and use the same review process as grant requests of over $35,000. See the Special Initiatives Grant background information and application at http://www.coloradohistory-oahp.org/programareas/shf/application.htm : (choose one) X Competitive Grant Up to $35,000 Competitive Grant $35,001 or More Special Initiatives Grant 2. Project Type (choose onethat reflects the majority of the proposed project): Acquisition & Development Those projects that involve excavation, stabilization, restoration, rehabilitation, reconstruction, or acquisition of a designated property or site. Archaeological projects are considered Acquisition & Development when the level of investigation is “intensive excavation.” In such cases, the site must be designated before the application is submitted. X Survey & Planning Those projects that involve identification, recording, evaluation, designation and planning for the protection of significant historic buildings, structures, sites and districts. For archaeological projects, all levels of survey and test excavations are considered Survey & Planning projects and prior historic designation is not required. However, once testing reveals eligibility for designation, further excavation may not occur without designation. Education Those projects that provide historicpreservation information or information about historic sites to the public. 3. Grant Request, Cash Match. Project Total and Percentage of Cash Match: Cash match is at least 25% (public entity or non-profit owner) or 50% (individual or business owner) of the TOTAL project budget.Please enter whole dollar amounts. $21,000$21,000$42,000 Grant Request: Cash Match: Total Project Budget: Percentage of cash match (as applied to the TOTAL PROJECT) you will provide (cash match/project total = cash 50% match%): 4. Applicant Organization is the non-profit organization or public entity that is eligible to apply for State Historical Fund monies. Individuals and businesses are not eligible applicants for State Historical Fund grantsdirectly. Don’t know your Federal Employer ID#? Visit www.melissadata.com/Lookups/np.aspor visit the web site of your Secretary of State. City of Louisville Applicant Organization : (must be a public entity or a non-profit) 749 Main Street MailingAddress: LouisvilleCO80027 City: State: Zip Code: 84-6000689 Employer ID Number: 5. Name of Project: Trying to determine the correct terminology for what you want to accomplish? Visit the National Park Service web site to understand the treatments: www.nps.gov/hps/tps/clocks/index.htmExample: “Acquisition of the Smith Conservatory and Roof Rehabilitation” City of Louisville JeffersonPlace Subdivision Intensive Level Historical & Name of Project: Architectural Survey Project 6. Brief Description of Project: Make this descriptionno more than 150 words and suitable for a press release. Brief Description of Project Request (No more than 150 words) 44