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20 <br /> APPLICATION FOR FUNDING FOR CONSTRUCTION PROGRAMS <br /> Town of Chapel Hill CDBG Program <br /> Orange County HOME Program <br /> Section l:APPLICANTAND PROIECT OVERVIEW`: <br /> A. Aqplicant Information <br /> Applicant Organization's Legal Name: <br /> Primary Contact Person and Title: <br /> Applicant Organization's Physical Address: <br /> Applicant Organization's Mailing Address: <br /> Telephone Number: Fax Number: <br /> Email Address: <br /> DUNS Number: <br /> (Dun&Bradstreet,Inc.provides this number at no charge,and it is required for Federal funding recipients.) <br /> B. Proiect Information <br /> Project Name: <br /> Total Project Cost: <br /> Total Amount of Funds Requested: <br /> Please specify the type and amount of funding requested: (Note:!f applying for HOME and CDBG funds, <br /> please indicate the amount requested from each source.J <br /> ❑ CDBG: $ and/or ❑ HOME: $ <br /> Proposed Use of Funds Requested (provide a concise description of proposed project): <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 /> Page 1 of 9 <br />