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SAFE AND SECURE COMMUNITIES APPLICATION CHECK LIST SUBGRANTEE: Township of West Orange GRANT NUMBER: P-__4677 INSTRUCTIONS: The Application Check List is provided to serve as a guide to ensure the submission of a complete application. Return two (2) copies of the completed application; ONE (1) copy must contain original signatures. APPLICATION: SUBGRANTEE TO SUBMIT: —x__ Applicant Information Form _X__ Program Application Narrative _X_ Budget Detail , _X. Application Authorization (Signed by Mayor) _X__ Grant Agreement Certification (Signed by appropriate official) _X__ General Conditions and Assurances (Signed by Mayor) ' _X _ Special Conditions (Signed by Mayor) X__ Resolution of Participation, and Certification of Recording Officer with ORIGINAL RAISED SEAL NOTE: ONLY COMPLETE APPLICATIONS CAN BE PROCESSED. IT IS IMPORTANT THAT ALL OF THE ABOVE-CITED ITEMS BE SUBMITTED WITH THE APPLICATION. [S&S rev'd 11/19/09] 2