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26 <br />Orange County HOME Program <br />Proposal for use of FY2000 - 200'1 Funds <br />I. Generallnformation <br />Name of Organization: L'l'4Yv~zc.: ~~.MM~. ~ us:n ~c; `':,~ '""` <br />Name of Contact Person: - ~' ,~- ,z~ ~"' <br />Telephone Number: ~ Cn`-- ~ y'~ <br />Address: _ ~7a ,~ ~x 3c~ ~ <br />r r~ .NC. 2-75/U <br />II. Proposed Project <br />. a. Project title: -a~~ ~~aa~7~ -`1`~~~rcAa7~ ~~~~. ~i~.~,e.1 <br />Project location: ~= ~'~%~ '~G- <br />b. Please provide a brief summary of the proposed project including what <br />the project/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. <br />i~~eaae. see ~;`~~~~~` 1ti'{~r ~;~~:~~es~~~ <br />p ~. 1j_ <br />r`LIS _ ~Gll L~ T,J~~~ <br />/ ~.' CJCle3 , <br />Amount of Request: ~~~ <br />Total Project Costs: 3 ,~ $ 5 s~a~~ . _-- <br />~ ~ <br />Number proposed to be servedc ~^- BO people ~ ~~ _ units <br />Target population ~y , ~ seer ~,Y~ ~a. ~~ ~«,r~~; ~ •^. ~o? <br />Median income of project beneficiari s ^- ~ ` ~-•. <br />What is the timetable for project completion? ,rs f 1, ~ ?~~~ z <br />Are all funding commitments in place for the pro' ct? /l1 Q If no, who is the <br />din Ian for the ro'ect? 'l us-e ~~~ ~ ~~~' ~~~~ce?s ~'"'~"~ s ` <br />fun ~ N ~ 1 <br />Please return completed document to: <br />Orange County Housing/Community Development Department <br />P.O. Box 8181 <br />Willsborough, NC 27278 <br />by <br />MARCH 20, 2000 <br />