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* 1. I understand the contact information I share will be made public for outreach purposes.

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* 2. Neighborhood Name:

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* 3. Contact Name:

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* 4. Telephone & Email Address:

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* 5. Boundaries of your Neighborhood (please be specific):

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* 6. Confirm you will be able to provide proof of the following:

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* 7. What kind of outreach is utilized by your Association? Check all that apply.

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* 8. At this time, does your group have a project(s) in mind? If so, please briefly describe.

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* 9. What is the intended impact of the project(s) on the Neighborhood?

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