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DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Chapel Hill 319 305 357 <br /> Chapel Hill Public Housing Residents <br /> Orange County 36 45 60 <br /> Raleigh 76 116 130 <br /> Wake County 75 47 50 <br /> Other 35 24 25 <br /> Total 1191 1197 1302 <br /> Income Level —See following chart <br /> (Omit for HS) <br /> < 30% Area Median Income <br /> 31-50% Area Median Income <br /> 51-80% Area Median Income <br /> > 80% Area Median Income <br /> Total 0 0 0 <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) <br /> Disabled (not elderly) <br /> Homeless <br /> People with HIV/Aids <br /> Total 0 0 0 <br /> CDBG & HOME ONLY- Area Benefit Activities (Infrastructure and Public Facilities) <br /> Street Census Tract Block Group Total Persons #LMI Persons <br /> Page. 11 of 23 <br />