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1/30/24, 2:50 PM HSOA-24-33 <br />https://chapelhillnc.workflow.opengov.com/#/explore/records/63101/react-form-details/63101 13/13 <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: 56236DB9-D561-482D-8D02-F9F4FB22B3FC