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Page 11 of 11 <br /> <br />Application Signature Page <br /> <br />Instructions – The local CEO and Local Board chair must sign and date this form. Electronic <br />signatures are permitted for the PY 21-23 application. <br /> <br />By signing the application below, the local CEO and Local Board chair request subsequent <br />designation of the Local Area and recertification of the Local Board. Additionally, they agree to <br />abide by the Local Area assurances included in this application. <br /> <br />Local Workforce Development Board Chair Local Chief Elected Official <br /> <br />Signature Signature <br />Stacey Sanchez Vincent Sarmiento <br />Name Name <br />Chair, Santa Ana Workforce Mayor <br />Title Title <br /> <br />Date Date <br /> <br />EXHIBIT 1