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Pre-Application Form
RCPC Rockland Community Preservation Committee
FY20 Pre-Application Form
Due date: Rolling No Later than October 31, 2020
Project Sponsor or Organization: _______________________________________
Contact Name: __________________________Address:_________________________
Telephone Number: ______________________Email:___________________________
Project Location/Address: _________________________________________________
Amount of Funding Requested: $_______________When required: ________________
Is the Project Allowable? Please use the chart below to determine if your
project is eligible for CPA funding in one or more of the CPA project categories. If you
are unsure about whether or not your project is allowable, please contact the RCPC.
Determining Project Eligibility
Open Space
Historic
Recreation
Housing
Acquire
Yes
Yes
Yes
Yes
Create
Yes
No
Yes
Yes
Preserve
Yes
Yes
Yes
Yes
Support
No
No
No
Yes
Rehabilitate
and/or
Restore
Yes if
acquired or created
with CPA Funds
Yes
Yes
Yes if
acquired or created
with CPA Funds
For a more detailed chart with definitions, please visit: http://www.communitypreservation.org
Request category (ies):
Open Space ____ Historical ____ Community Housing ____ Recreation ____
Number of acres in parcel: ___________ Number of housing units proposed: _____
Brief Name of Project:_____________________________________________________
_______________________________________________________________________
Brief Description of Project:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Rockland RCPC Pre-Application Form Page 1
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Estimated Budget:
Requested Amount from CPA Fund
Matching Funds (if applicable)
Total Project Cost
Estimated Timeline to complete work:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Summarize how this request benefits the Town of Rockland and meets the goals of the
Community Preservation Act:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Other Comments
Provide any other information you think the RCPC should be aware of in evaluating your
pre-application.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date: _____________ Applicant Signature:_____________________________________
Date received by the RCPC:_________________________________________________
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