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Pulaski Park Overlook Eligibility Form COMMUNITY 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: Pulaski Park - Phase 2 - Overlook Expansion Project Sponsor/Organization: Mayor David J. Narkewicz/Department 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 #: 413-587-1570 x4307 Fax #: 413-587-1576 E-mail address: JLaurila@northamptonma.gov CPA Program Area (check those that apply): � 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. Construction funding for the Pulaski Park – Phase 2 Overlook Expansion. For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________