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|Project Location (City/County, State):|
|GRANTEE CONTACT INFORMATION|
|Grantee Contact Name:|
|Mailing Address (Street/P.O. Box):|
|City, State, Zip code:|
|STATE DOT CONTACT INFORMATION|
|State Contact Person:|
|FHWA DIVISION OFFICE CONTACT INFORMATION|
|Division Contact Person:|
|Congressional District No.:|
|TCSP Program Funds:||$0.00|
|Matching Funds/In-kind Services Value:||$0.00|
|Matching Funds/In-kind Services Source:|
|Total TCSP-Related Project Costs:||$0.00|
|TO BE COMPLETED BY THE DIVISION OFFICE|
|"Transfer" TCSP funding for Project Administration?||Yes||No|
|If yes, which Federal Agency|
|Allocate awarded TCSP funding in current fiscal year?||Yes||No|
|Date grant application approved by FHWA Division Office|
(Maximum 4 sentences) Briefly describe the how the TCSP Program funds will be used for the project.
(Maximum 2 pages) Describe the project and the expected results, including project goals and timeframe.