Orange County NC Website
15 <br /> Construction <br /> Town of Chapel Hill CDBG Program <br /> Orange County HOME Program <br /> Application for Funding for a <br /> CONSTRUCTION PROJECT <br /> This is an application for: ❑CDBG ❑HOME ❑ Both <br /> Project Name: <br /> Total Funds Requested: <br /> Proposed Use of Funds Requested: <br /> Total Project Cost: <br /> SECTION 1: APPLICANT INFORMATION <br /> Applicant's Legal Name: <br /> Agency Address: <br /> City/State/Zip: <br /> Telephone Number: <br /> Contact Person: <br /> Title: <br /> Telephone Number: E-mail: <br /> 'Fax Number: <br /> To the best of my knowledge and belief all information and data in this application are true and <br /> current. The document has been duly authorized by the governing board of the applicant. <br /> Signature: <br /> Board Chairperson/Department Head Date <br /> 1 <br />