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<br /> Attachment A <br />. <br />. FY05 Homeland Security Grant Program <br /> Application Cover Sheet for Operational Areas (page 2 of 2) <br /> Applicant (county) <br />Statement of Certification - Approval Authority Body - SHSP and LETPP Only <br />By signing below, I hereby certifY that the Operational Area's application represents the Approval Authority Body's <br />consensus on the Operational Area's FY 2005 Homeland Security Grant Program needs for the State Homeland <br />Security Program and Law Enforcement Terrorism Prevention Program. <br /> Position/Designee Signature Printed Name Title <br />Comty Public Health Officer <br />Comty Fire Chief <br />Municipal Fire <br />Comty Sheriff <br />Chief of Police <br />Statement of Certification - County Authorized Agent - SHSP, LETPP and EMPG Only <br />By signing below, I hereby certifY I am the duly appointed Authorized Agent and have the authority to apply <br />for the FY 2005 Homeland Security Grant Program, and the Operational Area's application represents the <br />needs for the State Homeland Security Program, Law Enforcement Terrorism Prevention Program, and <br />Emergency Management Peiformance Grant program. <br /> Signature of Authorized Agent Printed Name <br /> Title Date <br /> .. For Slale use ONLY <br /> Application reviewed/Grant award approved by: <br /> Name Date <br /> GrantPerformancePeriod: <br /> OES ID # A ward # <br /> FY05 Homeland Security Grant Program Page 33 <br />