8.a) Lillquist Donation formDONATION FORM FOR PUBLIC IMPROVEMENT PROJECTS, MEMORIALS,
TRIBUTES, WORKS OF ART
(Including funding proposals for the above purposes)
DONOR INFORMATION
Name:
Addres
Phone:
Email:
Hereby makes a proposal to fund and/or construct a Public Improvement Project, memorial,
tribute, or work of art consisting of IA- AL54 �:g aHd si�H�ye Aron Nd nth 6e.r 9
The intended purpose of this donation is %J. lke tAxdE p 2 o Kit S� e zN «€eg(
Proposed location qay �� She l&x M'W
Donation subject to the following restriction (if any): i BMs zLh c � L l t 'C . '( n
tke eoiftp ktz'3L 6r- t-he)Q'-� ; e c t
Condition, Conservation and Maintenance Requirements:
of materials will be used in the proposed Project?
What is the intended life span of the Project?
What short and long-term maintenance may be required and what is the anticipated cost of such
maintenance? 5arne wW+e-'t"{i-�w , ti d s,v M e -JX . h ,L f of` th� 3-6-4.� 444 h � U'47
n Abbmww�I.1� oTkbPAAS
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DONATION FORM FOR PUBLIC IMPROVEMENT PROJECTS,
TRIBUTES, WORKS OF ART
(Including funding proposals for the above purposes)
DONOR INFORMATION
Name:
Addres
Phone:
Email:
EIVED
SEP-9Zui;i
CITY OF SCANDIA
Hereby makes a proposal to fund and/or construct a Public Improvement Project,
tribute, or work of art consisting of firm I - } � A / 1 ,. OuA
The
of this donation is
Proposed location Sp I) 5 �() D WeX .54, (`519- MrA V'W�
Donation subject to the following restriction (if any): p16UL a G
(7_M1r11 /, % �r
Condition, Conservation and Maintenance Requirements:
What type of materials will be used in the propos d Project? PS{`:
C
Whatisth enl�of ro�i0t? DjectlfdL
What short and long-term maintenance may be required and what is the anticipated cost of such
maintenance? JWAa t Y\�jn�PttLlltCP_
The City of Scandia will make reasonable efforts to accommodate the intended purpose of the
donation but reserves the right to utilize, relocate and/or dispose of any item through donated
funds as the City of Scandia may deem fit.
This agreement shall not take effect until the City Council for the City of Scandia has
specifically accepted this donation by a resolution receiving and affirmative vote of two-thirds of
the Council.
q1 b[j�!
Donor Date
Tek' -s
Donor
Recommended:
Accepted:
9E ',-V
qty Administra or
1/x/)3
Date
/0/ Z-// 3
Date
Date