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Pulaski Park Eligibility Form_Jan2016COMMUNITY 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 Renovation and 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 Pulaski Park – Phase 2 Overlook Expansion. Design and construction funding for Pulaski Park (Phase 1 area) to make design changes to the park in the area to the rear of the Academy of Music. For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________