Application Contents Clause Samples

Application Contents. Each Application shall contain the following information: 1. The Pole(s) affected by the Licensee’s Attachment, by identifying the number of Poles and their location. The information shall be mailed to Tacoma Power in Excel spreadsheet format or provided electronically upon request. 2. A description of the Licensee’s Attachments that will contact Tacoma Power Poles, including a description of how the Licensee intends to implement its Attachments. 3. What action the Licensee proposes to take to accommodate any additional strain that will be imposed upon the affected Poles by the Licensee’s Attachments.

Application Contents. In addition to contents required by law, the renewal application may include comments and additional information provided by the School about its progress toward meeting the District’s accreditation indicators. The format of the renewal application is provided in District policy LBD*-R – Relations with District Charter Schools (Procedures for Establishment, Review, Renewal, Revocation and Closure).

Application Contents. Applications for a large family day care permit shall be filed with the director and shall be accompanied by the following: 1. Completed planning application form and required fee and attachments (see also Section 16.48.030); 2. Evidence that the provider resides at the subject residential premises; 3. An exhibit drawn to scale and in sufficient detail to clearly describe the following: a. Boundary and physical dimensions of the subject property; b. Location and dimensions of all existing and proposed access, drives, parking areas, play areas, signs, structures, walls and/or fences, and yards; and c. Floor plans of all on-site structures. 4. Two sets of gummed labels of the names and addresses of all owners of real property located within one hundred (100) feet of the exterior boundaries of the subject property as shown on the last equalized assessment roll and any update issued by the county assessor.

Application Contents. Please Check Application Checklist (Document A) Grantee Information Form (Document B) Narrative Summary Form (Document C) Governmental Payee Form CDPH 9083 (Document D) Grant Activities and Reporting/Tracking Measures (Exhibit A) Organization This is the information that will appear in your grant agreement. Federal Tax ID # ▇▇-▇▇▇▇▇▇▇ Name Alameda County Public Health Department Mailing Address ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇., ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Street Address (If Different) (same) County Alameda Phone (▇▇▇) ▇▇▇-▇▇▇▇ Fax (▇▇▇) ▇▇▇-▇▇▇▇ Website ▇▇▇.▇▇▇▇▇.▇▇▇ Grant Signatory The Grant Signatory has authority to sign the grant agreement cover. Name ▇▇▇▇▇ ▇▇▇▇▇▇ Title President, Alameda County Board of Supervisors If address(es) are the same as the organization above, check this box and go to Phone Mailing Address ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Street Address (If Different) Phone (▇▇▇) ▇▇▇-▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ assistant Email ▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ Project Director The Project Director is responsible for all of the day-to-day activities of project implementation and for seeing that all grant requirements are met. This person will be in contact with Oral Health Program staff, receive all programmatic, budgetary, and accounting mail for the project and be responsible for the proper dissemination of program information. Name ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ Title LOHP Project Director If address(es) are the same as the organization above, check this box and go to Phone Mailing Address ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇., ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Street Address (If Different) (same) Phone (▇▇▇) ▇▇▇-▇▇▇▇ Fax (▇▇▇) ▇▇▇-▇▇▇▇ Email ▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ Funding These are the annual Funding amounts your LHJ will accept for grant purposes. Total Funding Requested $406,713 Alameda County experiences a well-documented epidemic of dental disease that disproportionately affects communities of color and low-income residents. In past decades, the health and well-being of county residents have improved; however, profound disparities by race and ethnicity persist, including in our residents’ dental health. Nearly one in three (32.8%) children 0-5 years of age screened at selected Women, Infants and Children (WIC) clinics in Alameda County showed evidence of untreated dental decay (2016). Among students screened through the Oakland Student Smiles program, 45% of students had untreated tooth decay with 15% of students having severe tooth decay (2017). Of children 0-5 years old with Medi-Cal,...

Application Contents a. An application for a Development Agreement shall include a proposed Development Agreement that shall, at a minimum, include all of the following: 1) A legal description of the property subject to the agreement and the names of its legal and equitable property owners, including all lien holders. 2) The duration of the agreement. 3) A development schedule, including commencement dates and interim completion dates at no greater than five-year intervals. 4) The development uses then currently permitted on the property, including population densities and building types, intensities, placement on the site, and design. 5) A description of public facilities that will service the development, including who provides the facilities, the date any new public facilities, if needed, will be constructed, and a schedule to assure public facilities are available concurrent with the impacts of the development. 6) If the Development Agreement provides that the Town shall provide certain public facilities, the Development Agreement shall provide that the provision and delivery date of such public facilities will be subject to successful performance by the developer in implementing the proposed development (such as meeting defined completion percentages or other performance standards). 7) A description, where appropriate, of any reservation or dedication of land for public purposes and any provisions to protect environmentally sensitive property. 8) A description of all local development permits approved or needed to be approved for the development of the property together with a statement indicating that the failure of the agreement to address a particular permit, condition, term, or restriction does not relieve the developer of the necessity of complying with the law governing their permitting requirements, conditions, terms, or restrictions. 9) A description of any conditions, terms, restrictions, or other requirements determined to be necessary by the Town for the public health, safety, or welfare of its citizens. 10) A description, where appropriate, of any provisions for the preservation and restoration of historic structures. 11) An indemnification and "hold harmless" clause whereby the developer/property owner holds the Town and its agents harmless from liability for damages, injury, or death that may arise from the direct or indirect operations of the owner, developers, contractors, and subcontractors that relate to the project. b. The proposed Development Agreement...

Application Contents. 5.1. The application shall include, but may not be limited to: 5.1.1. Background information (a) name, department/school, title of project; (b) indication whether it is a research/creative proposal or a professional development proposal; (c) indication of semesters requested for leave; (d) specify nature and amount of external support, and current status of arrangements and how this will affect plans for the leave. 5.1.2. Proposal (a) precise and specific description of the activities planned while on leave; indicate the procedures and time-table that will be followed and the prior arrangements that have been made; (b) detailed explanation of how these activities will either enhance the faculty member’s professional capabilities in teaching, research, creative activity, or service or strengthen the academic program of the University; (c) a specific plan for the format and content of a report to be submitted to the President upon completion of the leave. 5.1.3. A current curriculum vitae; 5.1.4. A brief statement from Chair/Director indicating her/his knowledge of the application; and 5.1.5. A letter from a colleague or Chair/Director or other evidence which speaks to the professional development merits to be derived from the activities completed during the leave may be attached, if the applicant desires. The Office of the ▇▇▇▇▇▇▇/VPAA shall maintain a template for Bargaining Unit Faculty Members to access.

Application Contents. The Technical Services Contract application must consist of the following: • Applicant Contact Information • Project Type and Description • Letters of Commitment • Designated Official A. Applicant Contact Information, Project Type and Description. This portion of the application is completed online, identifying the applicant name, municipal contact, project type (plan, ordinance, or planning study), and brief project description. Projects that will be adopted under the MPC require the applicant to verify that the project will comply with the MPC.