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Orange County Arts Commission Powered by Submittable <br />Legal Name of <br />Applicant Dani el Chambo <br />by Daniel Chambo in Orange County Arts Support <br />Fund (INDIVIDUALS ONLY) - Round 3 <br />2508 Ridgewood Rd <br />Chapel Hill, North Carolina <br />27516 <br />United States <br />9196322780 <br />danielskye@gmail.com <br />07/22/2020 <br />id. 16995989 <br />Original application 07/22/2020 <br />Artist Name, if <br />different than legal <br />name <br />n/a <br />Email address danielskye@gmail.com <br />Do you reside in <br />Orange County, <br />North Carolina? <br />Yes <br />Home address: <br />Street <br />2508 Ridgewood Rd <br />Home address: City Chapel Hill <br />Home address: Zip <br />Code <br />27516 <br />Can you receive and <br />cash a check? <br />Yes <br />Please select the <br />scenario(s) that best <br />describe your <br />situation: <br />You are a professional artist, whose source of income is through <br />your art <br />How would you best <br />your profession? <br />Musician/Singer/Music Production <br />Other than your <br />work, what sources <br />of household income <br />do you currently <br />have? <br />Spouse income <br />DocuSign Envelope ID: 2A260246-2BEB-4FD7-83FE-2863AE59A216