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- 025 <br /> • <br /> ENERGY CONSERVATION AND HOUSING REHABILITATION <br /> INCENTIVE PROGRAM <br /> IL APPLICATION FORM <br /> .A. PROJECT APPLICANT <br /> 1. Name of Organization: Orange County <br /> P.O. <br /> 2. Address:Address: Box 8181 ity. Hillsborough zip. 27278 <br /> 3. Contact Person: Tara L. Fikes <br /> 4. Title: services Director Telephone No.. <br /> 5. Legal Entity: <br /> a. Unit of Government X - b.Nonprofit Corporation <br /> c. For-Profit Individual or Organization <br /> d. Other(describe) <br /> B. PROJECT INFORMATION <br /> I. Application Category(select only one): <br /> a. Energy Conservation <br /> Funding Request$ 200,000-- <br /> b. Comprehensive Rehabilitation <br /> Funding Request$ <br /> • <br /> • 5 <br />