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7 <br />11. Local Government (City or County) To Whom Check Should Be Disbursed: <br />Name: John Link <br />Title: r~n„~tT~a~er <br />Organization: f:rninty of Qrsge <br />Address: P.0. Box 8181 <br />City: Hi l l shnrnunh State: NC Zip: 77278 <br />Phone: 919-732-8181 Fax: 919-644-3008 <br />The following people should sign below: <br />Project Developer/N.C. Department of Commerce <br />Date: <br />Local Government Officials <br />Date <br />Revised 6/991 <br />3 <br />