Town of Hanson, Massachusetts Community Preservation Committee Town Hall - 542 Liberty Street, Hanson, MA 02341 781-293-5644 Ext 102 PROJECT FUNDING PRE-APPLICATION (This form is must be submitted on or before December 15th and is required to be submitted prior to submitting an application for CPA funding)

Chairperson: Laura FitzGerald-Kemmett, At-Large William Clay, Parks & Recreation Patty Norton, At-Large Allan Clemons, Historical Commission Robert Overholtzer, At-Large Joseph Gamache, Planning Board Commission Robert Sears, Housing Authority John Kemmett, Conservation Commission Bill Strait, At-Large

The Community Preservation Committee shall make recommendations to the Town Meeting for the acquisition, creation and preservation of open space; for the acquisition, preservation, rehabilitation and restoration of historic resources; for the acquisition, creation and preservation of land for recreational use; for the creation, preservation and support of community acquired or created as provided in this section. With respect to affordable housing, the Committee shall recommend, wherever possible, the reuse of existing buildings or construction of new buildings on previously developed sites. Town of Hanson, By0laws Article 2020 Community Preservation Committee voted Mary 5, 2008 under Article 18 of the Annual Town meeting and adopted by the Attorney General on Mary 15, 2008. Please complete the following information. This form plus no more than one additional page should be returned to the Hanson CPC, Town Hall, 542 Liberty Street, Hanson, MA 02341 and/or by email to [email protected]. Please submit this form on or before 5:00 pm EDT December 15th in order to be considered for the May Town Meeting Warrant. If the application will be made by more than one entity (persons, agencies, organizations, etc.) please identify which will assume fiduciary responsibility by naming it as the primary applicant: Name of Primary Applicant (legal fiduciary agent): ______Address of Primary Applicant: ______Contact Person for the Primary Applicant: ______Contact Person’s telephone/fax and email address: ______Name and address of secondary applicant (if relevant): ______Name and address of third applicant (if relevant): ______Amount of funding requested: ______Funding Category (check all that applies; preference will be given to projects that include more than one category.): _____ Community Housing _____ Historic Preservation _____ Open Space (_____Active Recreation _____ Passive Recreation)

Brief project description (250 words or less – may be submitted on an additional sheet of paper): ______

CPA PreApp 1 Preapplication