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1/30/24, 5 00 PM HSOA 24 57 <br />https //chapelhillnc workflow opengov com/#/explore/records/63447/react form details/63447 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: 3F291284-28EA-4C38-99B9-60DFE2A69BE8