HomeMy WebLinkAboutCC Resolution 3764EXHIBIT "A" ,/
RESOLUTION Y764
Attachment for Application No.
BE IT RESOLVED BY CITY COUNCIL OF CITY OF SAN RAFAEL ,
(Governing Body) (Public Entity)
THAT NORRIS M. RAWLES , DIRECTOR OF PUBLIC WORKS ,
(Name of Incumbent) (Official Position)
be and he is hereby authorized to execute for and in behalf of
CITY OF SAN RAFAEL , a public entity established under
the laws of the State of CALIFORNIA , this application and
to file it in the appropriate State office for the purpose of obtaining
certain Federal financial assistance under the Federal Disaster Act (Public
Law 875, 81st Congress; 42 U.S.C. 1855-1855g).
Passed and approved this 21st day of APRIL 19
f �a4 e
C PAUL BETTINI - MAYOR-
Name
A 0Name and Title /
NORRIS M. RAWLES
DIRECTOR OF PUBLIC WORKS
Name and Title
Name and Title
CERTIFICATION
CLIF ORD CORNWELI. \
CITY CLERK c
I,W. CLIFFORD CORNWELL , duly appointed and
(Title)
ofCITY OF SAN RAFAEL ., do hereby certify that the above is a true
and correct copy of a resolution passed and approved by the
CLERK
CITY COUNCIL
(Governing Body)
21st
(Date
Date: 7' - � - f
CITY CLERK
(Official Position)
OF CITY OF SAN RAFAEL on the
(Public Entity)
day of APRIL
19 69
NOTE: If the applicant is a State agency, a letter
from the agency head designating his authorized
representative should be inserted in lieu of
this EXHIBIT "A")
Form OEP 152 Page 5 of 7
September 1965 ORIGINAL
APPLICANT
,TE NO.
OEP NO.
WHEN PROVISIONALLY APPROVED BY THE REGIONAL OFFICE DIRECTOR, THE FOLLOWING
MUST BE COMPLETED BY THE APPLICANT -AND THE STATE:
7. I. , the authorized representative
named in EXHIBIT "A" do hereby accept on behalf of the applicant the
provisional approval of $ by the Regional Office
Director, OEP:
Date
/s/
Applicant's Authorized Representative
ga I, ,GOVERNOR (or Authorized
Representative) do hereby accept on behalf of the State the provisional
approval of $ by the Regional Office Director,
OEP.
Date _/s/
GOVERNOR (or Authorized Representative)
(Note: This sheet is to be detached by the
Regional Office when the application
is approved as submitted.)
Form OEP 152 Page 4 of 7
September 1965