Open Space Signs Eligibility FormCOMMUNITY PRESERVATION ELIGIBILITY DETERMINATION FORM
The purpose of this form is to make sure that all project applications applying for Community Preservation Act funding are eligible for funding. Please refer to Appendix-E in the Community
Preservation Plan when filling out this form. This form must be approved in order for an application to be accepted.
Project Title: Open Space Habitats and Natural Communities Signage Project Sponsor/Organization: Northampton Office of Planning & Sustainability Contact Name: Carolyn Misch, Director
of Planning and Sustainability Property Owner, if applicable: Northampton Conservation Commission Mailing Address: 210 Main Street, Room 11, Northampton MA 01060 Daytime phone #:
413-587-1287 Fax #: 413-587-1264 E-mail address: cmisch@northamptonma.gov
CPA Program Area (check those that apply):
X Open Space � Historic Preservation
� Community Housing � Recreation
Project Purpose (check those that apply):
� Acquisition � Creation � Preservation
� Support X Rehabilitation/Restoration
Project Summary: Please provide a brief description of the project.
CPA Funding is sought for signage at each of the major Greenways to provide compelling information about natural communities, habitat, climate change, species, and threats unique to
each area.
For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________