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Eligibilty Forms - 2013 Round 1�U F {Vinnl ^roti DETERMINATION FORM The purpose of this form is to make sure that all project applications applying for Community P_r_eservation_ Act_ f_ unding_ ar_ e_ eli. gi. ble_ f_ or_f_unding._P_lease_r_ef_er_to Appendix -E_i.n the Community Preservation Plan when filling out this form. This form must be approved in order for an application to be accepted. Project Title: Pulaski Park Renovation - Design Documents Project Sponsor /Organization: Board of Public Works Contact Name: James R. Laurila, P. E. City Engineer Property Owner, if applicable: City of Northampton Mailing Address: 125 Locust Street Northampton, MA 01060 Daytime phone #: 413- 587 - 1570x4307 Fax #: 413 - 587 -1576 E -mail address: Xaur#a@northamptonma.gov CPA Program Area (check those that apply): 0 Open Space ❑ Historic Preservation ❑ Community Housing N Recreation Project Purpose (check those that apply): • Acquisition ❑ Creation ❑ Preservation • Support N Rehabilitation /Restoration Project Summary: Please provide a brief description of the project. The hiring of Stephen Stimson & Associates - landscape architects - to design renovations to Pulaski Park, The Board of Public Works held a design competition in 2008 for the purpose of selecting a landscape architect to design the renovations of the park, A CPA grant would fund the preparation of design plans and construction documents, For CPC Use Eligible: V Not Eligible: _ Date: Reviewer: v A L