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26 <br />grange County HQME Program <br />Proposal for use of Fl(2000 - 2001 Funds <br />I. Generallnformation <br />Name of organization: <br />Name of Contact Person: <br />Telephone Number: <br />Address: <br />11. Proposed Project <br /> <br />a. Project title: <br />Project locati <br />b. Please provide a brief summary of the proposed project including what <br />the projectlprogram 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 need'eJd. ~' <br />~'l~~y ~G7~G'~ ~ ~ ~LS~ <br />Amount of Request: ~~~=' ~'~~ <br />Total Project Costs: _~'~ 3 ~~ $ 9 ~'c'c? ~ - -~. <br />1 ~ <br />Number proposed to be served: ~-.. ~ people ~ ~°~ units <br />Target population ~~;h , ~. } e~~~~ ~.,-, «. a'c's r~f~~n, ~. -~ 7c~~ <br />Median income of project beneficiaries ~•~- ~ ~ ~~-. <br />What is the timetable for project completion? ~rs f ,~ ~ ~ ~ ~~~ Z <br />Are all funding commitments in place for the prof ct? /~ ~ If no, what is the <br />funding plan fer the Nreject? •'~u~e- ~~~ ~ ~'.~~ ~~~t`ce':~ ~`~' <br />Please return completed document to: <br />Orange County Housing/Community Development Department <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />by <br />MARCH 20, 2000 <br />cG.,r-IS4'i <br />