USE OF OPEN SPACE CERTIFICATE 6 PARCELS FOR PARKS
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RMSr 000300-0016R
U.5, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
USE OF OPEN SPACE CERTIFICATE
Project Number
Project Name Acquisition (6 parcels) for Parks
Fla, OSA-78
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~ntnnnv ~, ~~oema~er
, the duly authorized representative of
the'City of Clearwater, Florida
knowledge and belief;
, do hereby certify that to the best of my
The land or facility for which we received assistance under the Open Space Land Program is in fact being
used in accordance with HUn policy and with the Cormal agreement between HUn and the grantee,
Any false statements made knowingly and willfully may subject the signer to penalties under Section 1001
of Title 18 of the United States Code.
City of Clearwater, Florida
. " ~ (Name of fu.b.lic 8h~,.,
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By UJC~:,,--;'-/j-t ;L~ ,_j;:~V
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(Title)
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(Date)
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RMSI DD0300-0016R
u.s. OEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
USE OF OPEN SPACE CERTIFICATE
Project Number
Project :'lame Acquisition (6 parcels) for Parks
Fla. OSA-78
I ,
A,.,tnnnv t, Sl,oeJTlaker
, the duly authorized representative of
the"City of Clearwater, Florida
knowledge and belief:
, do hereby certify that to the best of my
The land or facility for which we received assistance under the Open Space Land Program is in fact being
used in accordance with HUn policy and with the Cormal agreement between HUn and the grantee,
Any Calsestatements made knowingly and willCully may subject the signer to penalties under Section 1001
of Title 18 of the United States Code.
City of Clearwater, Florida
/ ..' (Name of ~ublic BRi!~
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By (;t uC~" /. /OL..- 4."/ ,Llj)
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(Tille)
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(Dale)