Waiver-LT-50-percent-Contribution-061516.pdf

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California Biological Assistance
Opportunity number
USDA-NRCS-CA-MULTI-20-GEN0010588
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WAIVER OF REQUIREMENT FOR 50%/50% CONTRIBUTION

Agreement between NRCS and ___________________________________________

Agreement Number: ___________________________________________________

Description of Project:

Statement of Financial Burden:

Agreement Number: ___________________________________________________

Statement of Mutual Interest:

Documentation of Entity's Contributions:

Requested By: _________________________________________ __________________________ Signature of Entity's Authorized Official Date

Basis and Extent of Waiver:

Approved By: _________________________________________ __________________________ Signature of NRCS Authorized Official Date

GASB 061516

CW proj desc:
CW financial burden:
CW agmt nubmer:
CW mutual int:
CW_entity name:
CW entity contrib:
CW entity signed date:
CW Basis and Extent:
CW approved date:

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