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Orange County DOME Program <br />Proposal for use of FY2004 -- 2001 Funds <br />I. Generallnformation <br />Name of Organization: <br />Name of Contact Person: <br />Telephone Number: <br />Address: <br />. ~~r~_ . ~r ~uma~,i 1~ , ~~arrti~ ,Cle. ,z'~, c ~ {~y~c~ <br />-- Sc~~~-n L.e Jv1 ~,. <br />7~• l~'l U 7 x 11 <br />~ ~ d , ~3 o~c y-s9 <br />II. Proposed Project <br />a. Project title: ~-I orne ol~ntrsh,~~ - Ch~sl,7,/~~(a~e;s,.~,f ~/~Id ass <br />Project location: m vans ~ s ti.:alra su.bd•v. a~ <br />~~ - CJa u.k s S h,r~ ~ E~I w~ d t~xs h,.k~'' <br />b. Please provide a brief summary of the proposed project including what <br />z~ <br />the pro~ect/program is, what ,the funding will be used for and the <br />specific population or area that will benefit. Please attach additional <br />sheets if more space is needed. t-}~}oe is r~e~ucsl,n~ x$7,500 ,~ <br />f-FaMB ~i,.nds "+b be used a s seen d rr~ortJ+ ages ~ Q ~~ r~•xs~ <br />alG~tMt~ ~MGI'lr~ orl SGuG/I horned rrl h~ch w;ll ~ sold 4 <br />~f-o 1~u.t'trs carn~r~g at er btla,,,) ~7a a~ ~ a.,a.c~. ~-r,.cd.coy, <br />i ~.c.~n'- e . ~, ~ h v rr-cs w ; r! bs. lo~afc d i~ ~c Cd~.con ufi 0 ~ <br />subdrws~rr- ~ `f~ a.~d rn ~t E61a.n~ ~s~a.ftS su.hdrvis~orc.. C3) , <br />1 ~~. hvrn~S a.J; 11 bt bc.~r If- prr-rnaYr 1~'J b y /v lu~~cers}~,art~l <br />`j'~1 L b,~,~G~ cv; I1 Gorl ~'Y1 bwfC `rh~i / ~ abD~ C 5 eJ@Rt G~ ,~ 1) ~'7 ~ <br />I~B~ 0{ ra. dv~n I~a'"f mP..~''1"r: ~ac.h ~a/Y~G wi 11 be SI~vr7so/~~ ~r <br />cV e-h~br -Eu..-h e.v5 h i P ~.J h ~ r~ w J~J <br />oa raise ~d.S~ ~a a.nd S~.PIa Ih 7'7~ Vo 1~~}~ca?' <br />Amount of Request: ~$ ~ , SO a 1w~'• ~, +z~.t w ~ 1 t p~d ~ s ~pe~~ r~rn <br />Total Project Costs: ~ 47 ~, s`o~ GXG(,us r ~/`~ of -ot Cos-h5, ~rn d-~s <br />c.e n ~+a.c~k~ I ~' <br />Number proposed to be served: z 3S people _ ']~ units <br />TargEt population o So° o vr~.dia.r~ lnG3r~ne., I)vrn9 rn su,hs~daad hc~,,~,~iq <br />96 Median income of project beneficiaries s~ m~ as abov~c.. ~1 <br />What is the timetable for project completion? G pns~racG~t -ha s-~w~ DO ' corn <br />by ~~~~, <br />Are all funding commitments in place for the project? cf~ S If no, what is the <br />funding plan for the project? -~ <br />Please return completed document to: <br />Drange County Housing/Community Development Department <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />by <br />MARCH 20, 2000 <br />