APPLICATION FOR FUNDING TRAILS, OPEN SPACE AND PARKS (TOPS) PROGRAM
Applicant:
Name: _________________________________________________________________________
Agency: ________________________________________________________________________
Address: ________________________________________________________________________
City: ______________________________________________State: ______ZIP: ______________
Telephone: (_____) __________-___________________
TYPE OF PROJECT: (Check all that apply)
Trail: ______________ Acquisition _____________ Development __________
Park: ______________ Acquisition _____________ Development __________
Open Space: ________ Acquisition _____________
OWNER: Is owner aware of this proposal? ____________
Name: _________________________________________________________________________
Agency: ________________________________________________________________________
Address: ________________________________________________________________________
City: ______________________________________________State: ______ZIP: ______________
Telephone: (_____) __________-___________________
LOCATION AND DESCRIPTION OF PROPOSED ACQUISITION:
Address: _______________________________________________________________________________ ______________________________________________________________________________________
Description ____________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
Purpose of Acquisition: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
Proposed Type of Acquisition:
Fee Simple _____________ Sale ____________ Trade _____________
Conservation Easement _________________ Donation _________________
Transfer of Development Rights __________ Lease ___________________ Other ____________________________________________________________________________
APPLICATION FOR FUNDING TRAILS, OPEN SPACE AND PARKS (TOPS) PROGRAM
Page Two
Proposed type of Development _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________
Please explain why this proposal is appropriate for TOPS Funding: (250 words or less) _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________
FOR OFFICE USE ONLY
O.S. File No. __________________________
Date of Proposal _______________________
Name of Project____________________________________________________________________________________