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SECTION 1: APPLICANT AND PROJECT OVERVIEW <br /> Applicant Information <br /> Full Legal Name: Tax ID Number: <br /> Physical Address: Mailing Address: <br /> Website: Date of Incorporation: <br /> Executive Director: <br /> Telephone Number: Email Address: <br /> Project Information <br /> Project Name: Primary Project Contact and Title: <br /> Total Project Cost: Total Funds Requested: <br /> Total Number of Units in Project: <br /> Please specify the type and amount of funding requested: <br /> Affordable Housing Bond Program: $ ❑ Grant ❑ Loan <br /> Proposed Use of Funds Requested (provide a concise description of proposed project): <br /> To the best of my knowledge,all information and data in this application are true and current.The <br /> document has been duly authorized by the governing board of the applicant. <br /> Signature: <br /> Board Chairperson Date <br /> Signature: <br /> Executive Director Date <br />