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4040-0008 02/28/2022 notified. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Number: Date: be Costs will OMB Expiration you a-b) case, Allowable (Columns the is Total such c. If $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ participation. Programs % for Allowable eligible Not Participation X Construction costs Costs for Multiply project b. - of $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 16c share FUNDING line INFORMATION Federal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 from the Cost FEDERAL costs at Total eligible arrive BUDGET to a. Enter computations $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ share.) #14) additional etc. from follows: as percentage require appraisals, fees #15 calculate programs expenses payments fees engineering 1-11) (subtract Federal share. rights-of-way, and engineering lines income COSTS requested, for Federal assistance CLASSIFICATION legal and fees removal of agency Federal and expenses and architectural inspection and (sum (program) PROJECT assistance Federal resulting structures, Certain COST Administrative Relocation Architectural work Demolition Construction Equipment Miscellaneous SUBTOTAL Contingencies SUBTOTAL the Land, Other Project Site Project TOTAL Federal (Consult Enter NOTE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. HIDTA CY22 Application SF424C Maricopa County _____________________________________________ Jack Sellers Date Chairman Board of Supervisors ATTEST: _____________________________________________ Juanita Garza Date Clerk of the Board of Supervisors APPROVED AS TO FORM This ____ day of ____________________, 2021 By: ___________________________________ Deputy Maricopa County Attorney