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/~ / f t IBC t ~ j~T J /'~ <br />U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ~ n /1~ ~/ ~~ /~~ <br />• FEDERAL DISASTER ASSISTANCE ADMINISTRATION (, l t •Ja <br />~/a 3z3 <br />DESIGNATION OF APPLICANT'S LOCAL AGENT /~u5 7~Sv f <br />RESOLUTION <br />BE IT RESOLVED BY OF , <br />(Governing Body) (Public Enti tyJ <br />THAT <br />"(Name ojlneumbentJ ~ (Official Position) ' <br />(Address) <br />(Telephone No.J ' <br />(City) (State) (Zip Code) <br />is hereby authorized to execute for and in behalf of <br />a public entity established under the laws of the State of , <br />this application and to file it in the appropriate State office for the purpose of obtaining certain Federal financial assistance <br />under the Disaster Relief Act (Public Law 288, 93rd Congress) or otherwise available from the President's Disaster Relief <br />Fwid. <br />THAT - , a public entity established under the laws of the State of <br />,hereby authorizes its agent to provide to the State and to the Federal Disaster Assistance <br />Administration (FDAA), Department of Housing and Urban Development (HUD) for all matters pertaining to such Federal <br />• disaster assistance the assurances and agreements printed on the reverse side hereof. <br />Passed and approved this day of , 19_. <br />(Name and Title) <br />(Name and Title) <br />- (Name and 7'itleJ <br />CERTIFICATION <br />I, ,duly appointed and of_ <br />(Title) <br />do hereby certify that the above is a true and correct copy of a resolution <br />passed and approved by the of <br />(Governing Body) (Public Entity) <br />on the day of ,19 <br />Date: <br />• (OJjicia! 1'ositionJ ~ Si ature <br />( K-+ J <br />"Name of incumbent need not be provided in those cases wlrere the governing body of the public etrtity desires to authorize <br />any incumbent of the designated offtciap position to represent it. <br />HUD-490 I6-77) <br />