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Orange County, NC <br /> Applications are due February 23, 2001. Please mail to: Tara Fikkes,Orange County <br /> Housing and Community Development Department,PO Box 8181,Hillsborough,NC <br /> 27278 <br /> APPLICANT INFORMATION <br /> 1. Lead Organization: EM PC WaTR wvdx�'� Inc. <br /> 2. Partner Organization if any): <br /> ): <br /> 3. Address: r c>rw� J St' 200 <br /> 4.. Phone: 9 1 cr-24 7- 5. E-Mail: Al C�i 1-6, ? k'10- cam'(.Ca r+-7 <br /> 6. Contact PPtc_,rL_ G,,;I n 7. Federal I.D. #: <br /> PROPOSED PROJECT <br /> 8. Please attach a brief description of the proposed project,including an explanation of how <br /> funds will be.used for and the specific population and/or area that will benefit from this <br /> project. Two important criteria for judging applications will be the degree to which <br /> projects satisfy HOME Program goals as well as the priorities of the Consolidated Plan <br /> for Housing and Community Development Programs in Orange County (see following <br /> pages for descriptions). <br /> ADDITIONAL INFORMATION <br /> 9. Is organization operated as a profit or nonprofit agency? <br /> If nonprofit,please submit copy of 501(C)(3) documentation and a current list of Board <br /> members. <br /> 10. Amount of funds requested: 0,000 <br /> 11. Total project costs: '.�t� `' i��^C?c=' z-5 �+ �,000 <br /> Please attach project budget,including sources you intend to apply for and uses, <br /> 12. Are all funding commitments in place for the project? &- (uap__ cczs <br /> Please attach commitment letters,if available.. <br /> 13.Number of people to be served: 2-5'-Fig tl i�s (µ- 12 to le) <br /> 14. If a�housing project,number and_type of punts created: <br /> Z J �S�lCI'tG'. 'f•G�a�_� �V �t'�i' ��'G� l.Ls-t t T 5- <br /> 15. If project targets beneficiaries of a certain income level,please describe: <br /> 90% "T /gym{ W c 11 P l= t'b . �k t Is—•= r <br /> 16. What is the timetable for project completion? 5 <br />