Local Government Limited Gaming Impact Fund (Lglgif) Cost Recovery Form -State Of Colorado Department Of Local Affairs Page 3
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1
2
3
4listed herein.
Capital Equipment
Geographical
State Gaming
Items
Area Served
Cost
Share
1.
$
$
2.
$
$
3.
$
$
Total
$
$
(A.)
Capital
Construction Items
1.
$
$
2.
$
$
3.
$
$
Total
$
$
(B.)
3 (b). Are these capital costs represented in the project application form? (Please
check) Yes___ No___.
C.
Further Justification (optional, unless otherwise stated).
If the applicable SDR does not adequately convey the reported cost of impact,
please respond below and add attachments, if necessary, to justify additional
costs. The Water Quality Management and Planning service categories require
justification for all personnel, operating and capital costs reported in Section B.
Page 3 of 3 Pages
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