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, . . . <br /> ST..-t.T7 OF NORTE CAROL TNA tilac.:‘,,,,,a--;%%5 ' <br /> APPLICATTON 7OR Ca,%27"rAL ASSISTANCE <br /> 0 1.1... FR.LVATE. NONPR.OFTT FOR ORG.MIZATIONS <br /> . . <br /> T. 5:4CRAL <br /> . . <br /> I t.e.gaL Nadt a! AppLitaae ' i Asency Concatt/Titlet <br /> $ .0....; u=•.izatica; J-i <br /> nt Orance 1 Gloria 1,la Williams .. <br /> 1 <br /> 'Chatham Community Nction I Executive Director <br /> ! <br /> ,.,,,.. .i <br /> ; Address: <br /> loit,-sbaro NC 27312 <br /> 919 ) gz9-.0494 <br /> 1 SCZCZ I.= haita iacirporatect , Veri:itattoa: <br /> I (Attach A--4-Tas ot I a= as ai'dicer at' the appiicaat <br /> , Lacorporacisa) corporation here.,:.aartdam authorised <br /> i to rake this veriatcatioa art its <br /> 1 1 behati. The stazadeats is the <br /> 1 Horth Carol ina tore'soi4nr; dote:dead are trhe of try <br /> : own knowt_edge. <br /> I declare that ;foe !ctgaia3 is true <br /> „„becx :;_er--..7--:- ---- <br /> and correct. <br /> 1 • U"a-4-ed .- ( <br /> 1 .... - A -.a. UA) <br /> t. . ' <br /> ir ,/ ' 1 4/29/82 <br /> .....______3-4--ze ,...,. .„..... .)/, f.„.2 .,,..L._. <br /> — • <br /> 1 V :;orturbattirad <br /> ka(NUA "1/4. <br /> re ....algaatera o,t ,orporate »ate <br /> . Oet'icar/T.Lite <br /> 'Alatt is aearast :IA! <br /> Durham <br /> 5Z. ZIANSIICRTAZ5CN <br /> DES0.5.1F5ION: . , <br /> • '. r <br /> N.t=e 0!' Seag:.";.?hical. d'rea(s) I Nuaber and type. od vehicies attd <br /> to be served (towns, touncias) 1 equipaeat proposed: <br /> __ - 22-passenger mini buses <br /> I Orange County <br /> with four lifts <br /> 1 — 4 - 15-passenger vans with I <br /> 1---Ti-eZTic aiiettele served by I <br /> coorsinatad transportation three lifts <br /> 1 systen (thath.) 1 1 - 35-passenger bus <br /> 1 y Elderty X?hysitaLty I t <br /> i <br /> . .... _ ___1; _Y :dental:7 7.7-htladicapped 1 5 - air conditioning 1 <br /> - - --- -1-- daaditappet _A Other_ <br /> ..._ (for larger buses) <br /> Low Tricorn-a , <br /> ......_......._ <br /> I Appraxidate ahraber JE elderly I Zsti.hated atFaber dE total. -"adds <br /> aod aaadicapped <br /> -a- s to use ' witaia thte tali:swiss Eroups: <br /> serrite daiLy: : <br /> i 40 Elrier!,7 per day ...., 3.1ack Ameriaza 5adian at ' <br /> 31 'Haadiaapped par day i ASialt sr ?at;'" 17:::siaader i <br /> i <br /> 1 -----p <br /> hv l <br /> /menta /economical I <br /> . A li.isoaaic t <br /> T <br /> •. ' <br /> . . ... - .. . .L...... .*...... <br /> :5 . Ne7.5.75CAZ5CI: <br /> X Attachad ate :attars ae susocri :tam each pubLic sad prirate i <br /> . , .. . <br /> ; ',:radLoamadd paratradsti a:era :: in theproposed servite area <br /> 1 iadr.tatta; that he doal aot arid is aot iatantiag to ad'Eer <br /> sar se:-rat in the sada eras. 1 <br /> i 1 <br /> Arzsbet, is.avideadt F,L, ai",:orts sada to zotif7 other possibt. I <br /> providers a: servide ia :ht proposed servite aaaa. his ibc5hdaar i <br /> :, tobies ae pubiit =nic i're n araa aewspapers: <br /> ' .5. a tiar. aE sgeacias aaaPparatars adacatted.„ i <br /> tattreers 7: ,m iateraszad parties. <br /> 4 <br /> . i <br /> , . <br /> t . <br /> T ' <br /> ....— — <br /> . .. <br /> A( <br /> , . <br /> ' • <br /> , . .. <br /> ,. .. , --. .. 7.-. - , , — • . .. <br />