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Invasive Plant Control - Broad Brook Coalition eligibility form`Slnn�n �l 1 COMMUNITY PRESERVATION EL IGIBILI TY DETERMINATION FO 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: " v c,� , ve Gam. t- C n r_ c.. & Project Sponsor /Organization: ran ,� ,,�, `� �, a�lc �v Q� ►,. Contact Name: ; trn tnn -e r w. Gt N U Property Owner, if applicable: P UL.c�w, to G�,n �,v.3 tZrvc'x11��n, Q 0�+wr. Mailing Address: N o.- -t-" M1 l - 1 0'r -t LAC Q Daytime hone #: ` �- S is s-- o q o Da yt p ��I -s - ©qZ6 cwt Fax #: HI? - 32.�t E -mail address: -w,�v, w�,� �, �� , v v��c�, •��tu� 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 ❑ Rehabilitation /Restoration Project Summary: Please provide a brief description of the project. h1 e, ` VA t- .t u.d � o c a v& f� LA t& -e, a v�f a c vx5 w o,;" tc C., %,, C e e, L plc o{ c� v,4 a i >n^,L C . v\ h cL.-. dA e a v. 60 V V-.) 1Z s v A l -k �� , t V\ e 1.n c l r.,5 5 P o 14-c 1 C Sg b 2-c e., L(c V r`vr W U l .� ►' 10 -r vn o s.Q a ..L�_ For CPC Use Eligible: Not Eligible: Date: Reviewer: