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Douglas County Land & Water Conservation Department 1313 Belknap St., Room 206 Superior, WI 54880 Land Conservationist: [EMAIL REDACTED] (715) 395-1266 Land Conservation Technician: (715) 395-7266 Douglas County Land & Water Conservation ● www.douglascountywi.org/305/Land-Conservation PLEASE PRINT OR TYPE Date Amount Project Contact Mailing Phone and Project Description: ---PAGE BREAK--- Douglas County Land & Water Conservation ● www.douglascountywi.org/305/Land-Conservation List of Partners Involved List of Other Funding Sources List of Grants Applied for Public Benefits Environmental Impact of Project Projected Date of In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. We operate in compliance with the equal opportunity policies and all applicable state and federal statutes and regulations relating to nondiscrimination in employment and service delivery. ---PAGE BREAK--- Douglas County Land & Water Conservation ● www.douglascountywi.org/305/Land-Conservation PROJECT BUDGET (Please provide the following: 1. short list containing, at minimum, the total project cost, available funding, sources of available funding, donations, grant(s) if any, and description of any in-kind services): PROJECT TIME FRAME (projects with up to one year implementation period are preferable): PLEASE NOTE: FUNDING WILL VARY DEPENDING UPON AVAILABILITY Return to: Douglas County Land & Water Conservation 1313 Belknap St., Room 206 Superior, WI 54880 Or: [EMAIL REDACTED]; Fax: [PHONE REDACTED]