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ENVIRONMENTAL CLOSEOUT DECLARATION: <br /> This form must be signed after project completion and submitted as part of the grant closeout <br /> documentation. Also, please provide comments to each of the stipulations explaining how the <br /> requirements were met. <br /> I attest that all conditions listed in the approved project's environmental document were followed <br /> and the appropriate permits and documentation are attached. <br /> Project Title <br /> Name of Applicant or Applicant's Agent(Print) Title <br /> Signature of Applicant or Applicant's Agent Date <br /> 1 <br />