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• APPEND(X C - COVER SHE�T •
<br /> cl; f Decatur
<br /> Applic�nt Nam� . 37-60001-308
<br /> '�PaYP� Id. # (F�!N cr SSfi)
<br /> "1 Garv K: And�er_ Son plaza, Decatur, IL 52523-1196
<br /> �;,��icart Acdress (rrust ;nc!u�e y digit zip c:ce)
<br /> Prc�ec;�,�cress (if di�erent`rem a�cve; �acon
<br /> �'' � 11ins� Jr. , Communitv Deve� C�unry of Projec;
<br /> opment Director 21;/424_272g
<br /> rrc;ec; �WanacPr-TYGed Name
<br /> TitJe Telephcne and rax Number
<br /> Type of Projec: (irdicate the �ate�cry, prcvice tennage infcrr,ation and rrcjer; Stdrt �a1e �e!
<br /> rt Ccllec;ic,� � rnmar Fr = cw)
<br /> � cc„ssing
<br /> .u� Residertiai
<br /> '� Exis�ing Facility-^ur-=•�t Tcnr.ace
<br /> �Ccmmercial �New r �
<br /> �... Prcje.., ac;fity-�re�er;=� TonnaSe
<br /> c�"�''a•°`� ^'S�r, D�;e: February 2000
<br /> (must c;,rFly�,viih ;;e�-1�;; 2.3)
<br /> Grganization Legal Status
<br /> = irdivicual
<br /> =�orporaticn provicing cr billinc
<br /> _.., �wrer�,"scle;;re�r,e*,orsnio rr;ed;c�� arcicr heatt}i o ` NoR-res;cent alien indivicual
<br /> �re s2tvic„s �state cr�e�ai trus;
<br /> _ �arnershio — -. —
<br /> _ � .,orperaticn r.ct;,rcviding cr�illing _ F�reicr c:rroraucn, par�.ership esate cr trust
<br /> — :ax-exemet hcs�itai
<br /> medical anC,'cr heaith care servic� _ C`�her r.c,-�r-•.rcM c
<br /> cr extence�:are `ac:iity r_ ,
<br /> �,.ovemmen;al e��ty r5a�¢anon
<br /> _. Other
<br /> `�•IC� diat8 .�SS�Sia11C2
<br /> r�j �E r.CCIiC�:i�t=`;�!i 2.^...�:Y i". ' Y�J NQ .,
<br /> 8 c ��C j GITC �,cP,i Cr iCafl ,`�^••• "78 Siafn Ci IIIIf;CIS%
<br /> v�ll J
<br /> [L (^
<br /> t=inanci�o Infcr,^aticrt ' - r
<br /> _ ..,�i:. °-���c: : '= ___ n0
<br /> '' S -`a ,'0. 9 0
<br /> � '" i 70.9 ?�oi = S �G '35 90
<br /> Acciicarr;rvestmer,t �;°o cr i c;�l C;,s,; ;otai ;rcjer;G,s;
<br /> %��ciicant C�ritications -
<br /> AQ�licant car��es that:
<br /> ' 'his is ar i;;inc�s croiew,hai wii!acCress the illir,cis municaal was.e stream;
<br /> ' �tl au;�cnz::t;cr.s rec�ire� ;o ce�cm ;he e �
<br /> roie�. esc,��c in rs preccsai. �ave eitt;e��e��cc;amec cr�Hiil�e cctain
<br /> ��r�u cays �c;lcwirtg a grant awarci frcm CC;,,;;
<br /> � ed no later
<br /> ''�e�;��ev'�-:,�ciies'�+lllh aII ac;,iic,;ple s,ate. '�e�i�na Icql environmerrai ara�enmg;au„s. creinan
<br /> �,at a�i recuirza ;ic:r,ses. ;,errnits. alc.. nave e,�';er�een ectainea cr wifl �e eb;��n ,- �_ �and r
<br /> �„,��y,. eguiatiorts and
<br /> `' `'„ �^o ater'..a(�C� ,;dys 'alcwtn a
<br /> :::s nct.n viciancn ci U;e crcnibiocns aqainsi brce�y cf any cmc�r cr emeiove�cT Ltie„ �-i g ��a�
<br /> ��°r1C.'. ��te „r Uinc�s as set�cr,h in�0 ILCS
<br /> �.�as�:ct�ee� ;.arre��m�,ntrc;ng,,��t� 3 �rit ct state cr!cc�,t 5avemrert 3s a resud ci a vioiattcn ct Se •
<br /> cr the i:r;rr,irai C„de cr'Ga"1 (i�� IlC3��:,,� c�; and °r:�:�c�l;
<br /> i is nct:n viciancn ci L�e �� �:cn;:E-3 cr,�„^,E-d
<br /> ` u�ucral Lcan Ceiawt aC(�ILCS �8�r;,}. '
<br /> =��.iec:c�eratien w�il,;:m�enca no la2er!han ;,';r
<br /> ee mcntf�s �cflawmg ihe 5rnt�war�1;cr a ca;lec�on Froiea, cr sa mortths
<br /> `alcw�rg �he 5:�rt aw�����r a pnrr,ary prc�ssrng grnr.
<br /> "'e a�c;ic.�nt�r,cers-.ancs ann wiil c;mply wrth ;ne Frcc::rement R
<br /> ��'�e acci�c:nt�.as rc,Sl1btT11(tEC 3 IEt�ef,'? arc:n ��iremer,ts set forUt in Se�on.?.:,cf the RF?;
<br /> n�,;;��:e,`..� „� S g�ns�stenca wrc�an aacoteo so�id was,e managem�t c:an. it
<br /> � �a :lan: anC �stifies that it is
<br /> as ct';-�;u�;..��;��Cate. ;he infcmaticn previdea in its o
<br /> recosal is ac,�.irate. ar,c'!te ircivicua�s s;gnirc ����W a�a�o��ta
<br /> sc:cm�r;�jis c:cc�sal.
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