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<br />AUTHORIZA TION <br /> <br />ORIGINAL SIGNATURES ARE REQUIRED. <br /> <br />THE UNDERSIGNED DOES HEREBY SUBMIT THIS APPLICATION FOR FINANCIAL ASSISTANCE IN ACCORDANCE <br />WITH THE FEDERAL EMERGENCY MANAGEMENT AGENCY'S HAZARD MITIGATION AND PRE-DISASTER <br />MITIGATION GRANT PROGRAM AND THE STATE OF NORTH DAKOTA HAZARD MITIGATION ADMINISTRATIVE <br />PLAN AND CERTIFIES THAT THE APPLICANT (Le" organization, city, or county) WILL FULFILL ALL REQUIREMENTS <br />OF THE PROGRAM AS CONTAINED IN THE PROGRAM GUIDELINES AND THAT ALL INFORMATION CONTAINED <br />HEREIN IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE. <br /> <br /> <br />SIGNATURE ~ ~ DATE 7 /z- 7.. Jø 'I <br />(APPLICANT'S A NT) / I <br /> <br />TYPE NAME & TITLE: Dave Roaness. Cass Countv Emeraency Manaaement Coordinator <br /> <br />7 <br />