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<br />FY 06 Homeland Security Grant Program <br />Application Cover Sheet for Operational Areas (Page 2 of 2) <br />Applicant (county) <br /> <br />Statement of Certification - Approval Authority Body - SHSP and LETPP Only <br /> <br />By signing below, I hereby certifY that the Operational Area's application represents the Approval Authority Body's <br />consensus on the Operational Area's FY 2006 Homeland Security Grant Program needs for the State Homeland <br />Security Program and Law Enforcement Terrorism Prevention Program. <br /> <br />Position/Designee <br />County Public Health Officer <br />County Fire Chief <br />Municipal Fire <br />County Sheriff <br />Chief of Police <br /> <br />Signature <br /> <br />Printed Name <br /> <br />Title <br /> <br />Statement of Certification - County Authorized Agent - SHSP, LETPP <br /> <br />By signing below, I hereby certifY I am the duly appointed Authorized Agent and have the authority to apply for <br />the FY 2006 Homeland Security Grant Program, and the Operational Area's application represents the needs for <br />the State Homeland Security Program and Law Enforcement Terrorism Prevention Program. <br /> <br />Signature of Authorized Agent <br /> <br />Printed Name <br /> <br />Title <br /> <br />Date <br /> <br />For State use ONLY <br /> <br />Application reviewed/Grant award approved by: <br /> <br />Name <br /> <br />Date <br /> <br />Grant Performance Period: <br /> <br />OES ID # <br /> <br />Award # <br /> <br />FY06 Homeland Security Grant Program <br /> <br />Page 30 <br />