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13 <br />Application for 2003-2004 <br />Town of Chapel Hill Community Development Block Grant (CDBG) <br />Program <br />and / or <br />Orange County HOME Program <br />PART 1 STANDARD APPLICATION <br />1. REQUEST <br />AMOUNT OF REQUEST: <br />SOURCE: <br />PURPOSE: <br />S <br />?Community Development Block Grant <br />?Land Acquisition <br />?Acquisition and Rehabilitation <br />?Second Mortgage Assistance <br />?Public Infrastructure Improvement <br />?Other: (specify) <br />H. APPLICANT INFORMATION <br />A. TYPE OF APPLICANT <br />(Check all that apply) <br />? Applicant is an existing entity <br />? Corporation ? General Partnership <br />? Limited Liability Company <br />? Joint Venture ? For-Profit <br />? Municipality ? Individual(s) <br />? Limited Partnership <br />? Non-Profit ? Local Housing Authority <br />? CHDO ? Current Owner <br />? Proposed Owner ? Developer ? Contractor ? Other: (specify) <br />If a non profit organization please submit a copy of your 501 (c)(3) documents and a <br />current list of all Board members. <br />?HOME <br />?Property Acquisition <br />?Rehabilitation Only <br />?Economic Development <br />?Community Service <br />CDBG / HOME Program Application <br />Januarv 2003