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~~ <br />Affordable Housing <br />Town of Chapel Hill CDBG <br />Orange County HOME Program <br />Application for Funding <br />for an <br />AFFORDABLE HOUSING PROJECT <br />This is an application for: ^CDBG ^HOME ^ Both <br />SECTION I <br />APPLICATIQN INFORMATION <br />Full Legal Name of Applicant: <br />Applying as: ^ Town of Chapel Hill CDBG Subrecipient (CDBG only) <br />(check one) <br />^Orange County HOME Subrecipient (HOME only) <br />^Other Member Government (HOME only) <br />(Subrecipient agency, if any: ) <br />^Community Housing Development Organization (HOME only) <br />Address: <br />City/State/Zip: <br />Telephone Number: <br />Contact Person: <br />Title: <br />Telephone Number: E-mail: <br />Name of Project: <br />Total funds requested: $ <br />To the best of my knowledge and belief all data in this application are true and current. The document has <br />been duly authorized by the governing board of the applicant. <br />Signature: <br />Mayor/Chair of Board <br />Date <br />