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DocuSign Envelope ID:FO3CBAC2-B7E2-4CDB-AFA6-CB52A071BA00 t A- continued <br /> Provider's Outside Agency Application <br /> 1 IAIN APPLICATION <br /> Total _ 0 0 0 <br /> Special Needs (0ount for HS) <br /> Elderly (Over 62) <br /> Disabled (not elderly) <br /> h-lomeless <br /> Peopie with H1V/Aids <br /> Total 0 0 0 <br /> DBG & HorvIE oNo" - Area Benefit Activities clbfrastructure and Public Facilities <br /> Street Census Tract Block Group Total Persons <br /> #LMI Persons <br /> • <br /> 2015 Area Me•i n Fa l Hy income Li Hits <br /> _ <br /> U.S. Department of Housing & Urban Development (HUD) <br /> 2015 Area Median Family Income Limits <br /> Effective March 15, 2015 <br /> Income 1 1 2 J 3 4 5 6 r 7 8 1 <br /> Lev / i person people people people people people people ' people <br /> 30% AMI $14,150 $16,200 $20,090 $24,250 $28,410 $32,570 $36,730 $40,890 <br /> 50% AMI $23,600 $27,000 $30,350 $33,700 $36,400 $39,100 $41,800 $44,500 <br /> 80% AMI $37,750 $43,150 $48,550 $53,900 $58,250 $62,550 $66,850 $71,150 <br /> 100% AMI $47,188 $53,938 $60,688 $67,375 $72,813 $78,188 $83,563 $88,937 <br /> an Application 1125/2016 1°26.31 PM <br />