HomeMy Public PortalAboutAdministrative Expense Funding ApplicationForm PE 6/14/2018
APPLICATION FOR COMMUNITY PRESERVATION ACT
ADMINISTRATIVE EXPENSE FUNDING
__________________________
Project Name (or “None”)
Date:
Name of Person Submitting Request:
Daytime Phone Number:
Email Address:
Requested Amount: ____________________________
Expense Description:
Administration Expenses Category: __Open Space _Historic Preservation __Recreation __ Community
Housing
CPC Action:
☐ Approved Amount: $______________ CPC Liaison:
☐ Disapproved ☐ Other Action:
Date CPC Chair Signature
Administrative Expenses Committed to Date in FY 20___: $_______________________