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NORTH CAROLINA HOD6ING PINANCE AGEYCY n~ <br />^''' ~'~ L~ ~ ~ Application for Funding ~i L'.1 ~ ~ ~' <br />2002 Single-Family Rehabilitation Pragam, Urgent Repair Program <br />and home Energy Loan Program <br />I. Rogram Applicant <br />A. Applicant Ocyamzatiov: <br />F. legal name counq ofaan,re <br />2. Stmcf address 2005. Cameron 5heel <br />3. M ling oddms P.O.BOx Blftl <br />4. City Hillslronru~h LIP 2]2]8 <br />& Fax Nvmber: Yl&6A4-HUSI. 6 Pedewl Tax ID'. 5660032] <br />]. E-uwO Adaresa and/vr Website: w w,wange.nc.us <br />e. Chief Atlmvumabve IXBCiaP <br />1. Name JoM M. LUil57r. 2 Title County Manager <br />3. Yhorie Homier 91X245-2300 <br />C. Program Contact Mailing Address'. QfdiJjerenffrom aboae e.g.aronsuifantb Jres oddress) <br />1. Orgnllzaaon Nanre Orange CDVIVy FIOUSUIg end COmmwdry Development Deparhnent <br />2. Mailbrg address PO. BOx 8181 <br />3. City Hillsborougfi ZLL' 2]Z]8 <br />4. Fax Number. 419f~Y4ft056 <br />5. N-Mail Atldress antl/or Website: NikesWmrnanye.ncvs <br />D: R'ogam Gnl9[t Parson <br />1. M1ame Tan L. Pilas 2. TIOe Dnedor <br />3. Phone nvmbn 919Q45-2490 <br />6. Applicatiunfm Funding under: <br />Single-Famil/ReRabrliiafivn~ Hrgentltepair............ Q Home Energy LOan.........~ <br />F. Type of Applicant I~I <br />1. Cammurtity ARioncyAgency,.,e 2. ONenwnProfit corPOretion.+ i6 ~~~~~duthoritD <br />9. Oeber Public A,gen 5. Lail GOVemment..... .. ^ u <br />G Service Area Edurmaaon: YES NO <br />1 I th ppl'cant CDBG EntiUVnent [ ... ... ...,~ <br />z wiuR gramm a x a'na CDBCF to t iry <br />3 Tth ppl'cant HOMER Rram P t p h g1 'Wi<M1 .... <br />4 W01P 'y am funJxbe ~d ittdn nOM61 n patinRJ d n ..... <br />5. Totalsavice rea population Pa'Offie of Siate PlvuUng 1999 projecfiom as <br />e <br />published in North Grolina Municipal AOpulntion, Ya11200U..........._......_......._.. 109,99fi <br />H. Pending RuTueatel <br />1. Total amovn[of ROgram funds requestel..____ .................................................... 5]5,000 <br />2 25 <br />THI6 SECTION FOR NCHFA USE ONLY <br />DaM received A .No. Fee enclosed No.m ie Thresh. Score Ca . <br />