City of Omak Park Project request Form

Please fill out this form for Projects or Improvements you would like to see in our Parks.

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Request Date

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Applicant Information

First Name *

Last Name *

Address

City

State *

Phone Number *

Email *

Project Information

Project Title *

Description of Project *

Project Location *

Project Start Date *

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Expected Completion Date *

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Materials and Resources

List of Materials/Resources Required *

Will you need City support for this project? *

Yes

If yes please describe

Applicant Contribution

Please describe in detail what contribution you will make to this project. (Labor, Materiels, ect.) *

Permits and Approvals:

Will you need any specific permits or approvals for this project? *

Yes

If yes please describe:

Estimated Budget:

Total Estimated Project Cost: *

Funding Source: If applicable, specify how the project will be funded, whether through private donations, grants, or other means.

Application Signature: I, the undersigned, hearbycertify that the information provided above is accurate to the best of my knowledge. I understand that approval of this project is subject to review by the City of Omak Parks Department.

Signature: *

Date *

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City of Omak Park Project request Form

Contact Information