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Construction <br />(S <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 <br />Project Name: <br />Total Funds Requested: <br />Proposed Use of Funds Requested: <br />Total Project Cost: <br />?HOME ? Both <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: <br />Fax Number: <br />E-mail: <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