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Is the applicant a municipality as defined in the Illinois Environmental Protection Act,415 II,CS <br /> 5/58.2? Please Circle one. � <br /> Yes No � <br /> What are the proposed uses of the grant? Please circle appropriate answer(s). <br /> Identification of Brownfield Sites. � Yes � <br /> Site Investigation � No <br /> Development of Remedial Objectives e No <br /> Development of Remedial Action Plans e No <br /> Other Specify: <br /> - For Site Specific Proposals <br /> Is the site already part of the Illinois EPA's Site Remediation Pmgram? <br /> Please circle one. <br /> Yes No . <br /> . Grant Agreement <br /> I have read Appendix C--Brownfields Redevelopment Crrant Program Example Grant Agreement <br /> Please circle one. <br /> Yes No <br /> Duly Authorized Municipal0fficial <br /> Name(typed): Terry M. Aowlev . � <br /> Title: Mavo r <br /> Address• ��1 Gary K. Anderson Plaza, Decatur, IL 62523 <br /> Telephone Number. (217) 4 2 4-2 7 2 5 � <br /> Date:���'v ATT <br /> , ��'� ,/�. , <br /> �'.,. ��'��� lC��.�L� <br /> SigII3tllre OPD O � Municipality Official CITY CLERK <br /> � . 2 <br />