ATTACHMENT C EMERGENCY SHELTER CERTIFICATION OF LOCAL GOVERNMENT APPROVAL (Private Non-Profits Only) Instructions: If the Emergency Shelter is located in a city, the Certification of Local Approval must be completed by the city. If the Project is located in the unincorporated area of a county, the Certification must be from the county. I, , duly Authorized to act on behalf of (Name and Title of City/County Official) , hereby approve of the operation of the following Emergency (Name of City/County) Shelter(s) (see list below) proposed by which is/are to be (Insert Name of Applicant) located/operated in (Name of City/County) . CERTIFICATION OF LOCAL APPROVAL PRINTED NAME OF CITY/COUNTY OFFICIAL TITLE
ATTACHMENT C EMERGENCY SHELTER CERTIFICATION OF LOCAL GOVERNMENT APPROVAL (Private Non-Profits Only) Instructions: If the Emergency Shelter is located in a city, the Certification of Local Approval must be completed by the city. If the Project is located in the unincorporated area of a county, the Certification must be from the county. I, (Name and Title of City/County Official) , duly Authorized to act on behalf of (Name of City/County) , hereby approve of the operation of the following Emergency Shelter(s) (see list below) proposed by (Insert Name of Applicant) which is/are to be located/operated in (Name of City/County) . CERTIFICATION OF LOCAL APPROVAL PRINTED NAME OF CITY/COUNTY OFFICIAL TITLE
esg-2016-application.docx