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Individual Development Account Program <br />Application Summary <br />1~ Applr~ait'~ wipe ; _ : , County of Orange 2~: Date ,~ <br /> a:. Itilail~~ Ad~re~ss ~;~ P.O. Box 8181 x Original <br /> b. C~y-and;Z~~ "C'pde : Hillsborough, 27278 dated: 09/07/2005 <br /> c~ 'County ;`:~ ~ ,~ ~ Orange Amendment <br /> ~d, Contact P`~eziso~~,~~ " , ~ ~ "' <br />" Tara L. Fikes dated: <br /> e.~ ~'ele~hQ~~ N~i~~ <br />~r~ ~.~ ~ 919-245-2490 ~' ~~ <br />~~ ~ ~ ; ~, <br /> , ,~ <br /> Emai'1 Address tfikes(a~co.oran~e.nc.us '~ ` <br />~1 ~ t~ <br />3., Preparer's dame - Tara L. Fikes c ~~ T,efephone~~um3~r :~ <br /> a; Mailing Addres~~:: "' P.O. Box 8181 <br /> li: City and~~ip CAode , ~ Hillsborough, 27278 : -~, ~ ~ r,~, ~,x~„~;;; <br /> c: Email Atl'dxpss~ ,~~ `~~~:~, tfikesna,co.oran eg nc.us ~~~ ~ ~.~~~~" <br />'`~ , <br />4. Program ~ .5 1~rq~ect'~,, - ' ' f ~I'~ro~ee~,Name . <br />. , <br />~ <br />~ <br />, 7': C"DBG~'ds <br /> Cate~on~ I~3~inber: . <br />, t <br />.z <br />_ <br />,;4 R ue$t~~~' <br /> NA 1 Orange County IDA Program $ 50,000 <br /> <br />5. Certification by the Chief Elected Official <br /> a) I certify that to the best of my knowledge and belief: <br /> (1) Data in this application is true and correct, <br /> (2) Opportunities have been provided for citizen participation and access to information concerning the <br /> proposed activities, <br /> (3) This document has been duly authorized by the governing body of th e applicant and the applicant <br /> will <br /> comply with the attached certifications if the assistance is approved. <br /> b) I acknowledge that, if funded, this application is part of the Grant Agreement. <br /> c) Typed Name of Ghi"ef _ '" ~ Moses Carey, Jr. <br /> Elected O~~ic1a1~:,: - .~~;,~ `,» <br /> v= ,~ . <br />~ ~x~ <br />T~Ped Tit~~ '~ ~~ <br />d) <br />Chair, Orange County Board of County Commissioners <br /> a <br />9~. <br /> <br /> ~ <br />4 ' ^ 7 <br /> ~ ~r ~ti~~~; <br />, wr <br />~ <br /> #} Typed Date ~` ~~ " { -`~ '{ September 7, 2005 <br /> , <br />For DCA Use Only Date Received: Application Number: <br />15 <br />