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1/12/24, 10:17 AM HSOA-24-16 <br />https://chapelhillnc.workflow.opengov.com/#/explore/records/63230/296812 13/13 <br />Name of Person Submitting the Application <br />Emma Vadney <br />Agency Role of Person Submitting the Application <br />Site Coordinator <br />Agency Representative Signature <br />Emma Caroline Vadney <br />Jan 11, 2024 <br />By submitting this application, the agency representative noted above affirms <br />they are either the Executive Director, or, if someone other than the Executive <br />Director is submitting this application, they affirm the Executive Director has <br />reviewed the application for accuracy and approved it for submittal. <br />Approval Details <br />Approved Amount <br />– <br />Docusign Envelope ID: F5E5F5C2-1D2F-4220-AB83-15724033E4F0