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<br />Pript Application <br /> <br />APPLICATION FOR <br />FEDERAL ASSISTANCE <br />(SF 424) <br />1.TYPE OF SUBMISSION <br />Non-Construction <br /> <br />2. DATE SUBMITTED <br /> <br />3. DATE RECEIVED BY <br />STATE <br /> <br />4. DATE RECEIVED BY <br />FEDERAL AGENCY <br /> <br />5.APPLlCANT INFORMATION <br /> <br />Legal Name <br />Cass County Government <br /> <br />Address <br />4630 15 Avenue North. <br />Fargo. NO 58102-5801 <br /> <br />6. EMPLOYER IDENTIFICATION NUMBER 6.a. DUNS NUMBER <br />(EIN) 054785266 <br />45-6002205 <br />8. TYPE OF APPLICATION <br />Planning Application <br /> <br />10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE <br /> <br />12. AREAS AFFECTED BY PROJECT (cities, counties. states, etc.) <br />CASS COUNTY <br /> <br />13. PROPOSED PROJECT: <br />Start Date: <br />End Date: <br /> <br />15. ESTIMATED FUNDING <br /> <br />Page 17 of 18 <br /> <br />Applicant Identifier <br /> <br />State Application Identifier <br /> <br />Federal Identifier <br /> <br />Organizational Unit <br />Cass Fargo Emergency Management <br /> <br />Name and telephone number of the person to be contacted on <br />matters involving this application <br />David Rogness. 701-476-4065 <br /> <br />7. TYPE OF APPLICANT <br />Local Government <br /> <br />9. NAME OF FEDERAL AGENCY <br />Federal Emergency Management Agency <br /> <br />11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT <br />Cass County Multihazard Mitigation Plan Update <br /> <br />14. CONGRESSIONAL DISTRICTS OF: <br />a. Applicant NDND <br />b. Project NDND <br /> <br />16. IS APPLICATION SUBJECT TO REVIEW BY STATE <br />EXECUTIVE ORDER 12372 PROCESS? <br />$ 7,796.25 No, Program has not been selected by state for review <br /> <br />a. Federal <br /> <br />b. Applicant <br /> <br />C. State <br /> <br />d. Local <br /> <br />$0.00 <br /> <br />$ 0.00 <br /> <br />e. Other <br /> <br />$ 2,598.75 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL <br />DEBT? <br />$ 0.00 No <br /> <br />f. Program Income <br /> <br />g. TOTAL <br /> <br />$10,395.00 <br /> <br />S 0.00 <br /> <br />18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT <br />HAS BEEN DULY AUTHORIZED BY GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br /> <br />a.Name of Authorized <br />Representative <br /> <br />b.Title <br /> <br />d.Signature of Authorized Representative <br /> <br />c.Telephone Number <br /> <br />e.Date Signed <br /> <br />https://portal.fema.gov/FEMAMitigation/Print.do?applicationName=subgrantPlanningAppli... 2/2/2006 <br />