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� e) <br /> DESIGNATION OF APPLICANT'S AGENT $ , <br /> -R r-- S - 1 <7 ev 3 2 <br /> RESOLUTION <br /> BE IT RESOLVED BY OF <br /> (Governing Body) (Public Entity) <br /> THAT , <br /> (Name of Incumbent) (Official Position) f <br /> OR <br /> Governor's Authorized Representative, <br /> is hereby authorized to execute for and in behalf of <br /> a public entity established under the laws of the State of <br /> this application and to file it in the appropriate State office for the <br /> purpose of obtaining certain Federal financial assistance under the Disaster Relief Act(Public Law 288,93rd <br /> Congress)or otherwise available from the President's Disaster Relief Fund. <br /> THAT ,a public entity established under the laws of the <br /> State of ,.hereby authorizes its agent to provide to the State <br /> and to the Federal Emergency Management Agency(FEMA)for all matters pertaining to such Federal disaster <br /> assistance the assurances and agreements printed on the reverse side hereof. <br /> Passed and approved this day of 119 <br /> (Name and Title) w <br /> (Name and Title) <br /> (Name and Title) <br /> CERTIFICATION <br /> duly appointed and of <br /> (Title) <br /> .do hereby certify that the above is a true and correct copy of a <br /> resolution passed and approved by the of <br /> (Governing Body) (Public Entity) <br /> on the day of , 19 <br /> Date: <br /> (Official Position) (Signature) <br /> Name of incumbent need not be provided in those cases where the governing body of the public entity desires to <br /> authorize any incumbent of the designated official position to represent it. <br /> Rcv.QRM <br />