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EXHIBIT "A" <br />f 3� - <br />Submission Checklist <br />For office use only <br />Please mark "yes" or "no" to each criteria below: <br />Applicant filled out the proper application version for this <br />grant cycle. <br />u: ,PS Applicant answered each question. <br />U C5 A budget is attached which includes revenues, expenses <br />and anticipated profit or loss (plus prevT�u_) <br />s 3 years <br />actuals for ongoing projects/events). <br />The applicant has signed and dated the certification <br />statement required in item 10 of the application. <br />The application was submitted on time. <br />t ",*� <br />L, _ Proof of non-profit status is included (if applicable). <br />Please date stamp the application and initial. <br />IV( <br />County -wide Lodging Tax Application For Office Use Only P a g e 1 15 <br />