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Application for 2004-2005 <br />Town of Chapel Hill Community Development Block Grant (CDBG) Program <br />and/or <br />Orange County HOME Program <br />PART 1 STANDARD APPLICATION <br />~ L`APPLiCANT INFORl~1ATION <br />NAME OF APPLICANT: Chapel Hill Housing Department <br />CONTACT PERSON: Ron Gallerani, Resident Services Officer <br />Address (no P.O. boxes): 317 Caldwell Street <br />Mailing Address (if <br />different <br />City: Chapel Hill State: NC <br />Zip: 27516 <br />County: Orange Federal ID#: 56-6001199 <br />E-mail address: rgallerani@townofchapelhill.org <br />Phone: 919-968-2850 Fax: 919-932-2935 <br /> Type of Applicant <br /> (Check all that apply) <br />^D Applicant is an existing entity <br />^ Corporation ^ General Partnership ^ Limited Partnership <br />^ Limited Liability Company <br />^ Joint Venture ^For-Profit ^Non-Profit ~ Local Housing Authority <br />D Municipality ^ Individual(s) ^ CHDO ^ Current Owner <br />^ Proposed Owner ^ Developer ^ Contractor ^ Other: (specify) <br />If a non profit organization please submit a copy of your 501 (c) (3) documents and a current list of <br />all Board members. <br />1 <br />