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Local Government Unit (LGU) Information <br />LGU Legal Name <br />Mailing Address <br />City, State, Zip Code <br />Application Contact and Title <br />Contact Telephone Number <br />Contact Email Address <br />HC District # of location(s) <br /># of youth using equipment <br />EXECUTION <br />IN WITNESS THEREOF, <br />The LGU has caused this application to be executed on: <br />Date <br />(print name here)Title (must have signature authority for <br />the amount of the matching funds) <br />(signature here) <br />The LGU above has reviewed this application and believes it is consistent with its athletic or recreational <br />program goals. The LGU is prepared to be the fiscal agent for the award, to disburse the funds, and <br />ensure the funds are used for the equipment listed here. <br />Hennepin Youth Sports Program <br />Equipment Application <br />Spring 2021 <br />Name & address of location(s) <br />where equipment will be used <br />City Of Orono <br />P.O. Box 66 (Attn: Public Works) <br />Crystal Bay, MN 55323 <br />Adam Edwards - Director of Public Works / City Engineer <br />952-249-4600 <br />aedwards@ci.orono.mn.us <br />Lee Carlson Fields1024 Old Crystal Bay RdLong Lake, MN 55356 <br />District 6 <br />450