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4/29/2019 <br />Print/Preview <br />Project Category <br />2. What category does your project fit into? <br />Upload Supporting Documentation as applicable. Non -Profits and Special Districts, see document <br />requirements - 100.1 thru 100.7 <br />Community Facility <br />Public Improvements <br />Parks <br />Microenterprise <br />if Minor Home Repair <br />Housing <br />Human Services <br />Other: <br />3. What type of activity is involved? (Check one) <br />If you checked Acquisition, upload document 700.1- Questions Regarding the Acquisition (Uniform <br />Relocation Act). <br />Acquisition <br />✓ Rehabilitation <br />Construction <br />Capital Program Services <br />Population Served <br />4. How will the project's CDBG eligibility for funding be established? How many residents will be <br />served? <br />If Area Benefit, upload Form 800.1 Census Data. If Limited Clientele, upload Form 000.3 Service Delivery <br />Data; FOR ALL upload Form 000.4 Service Delivery Area Map <br />Area Benefit <br />✓ Limited Clientele <br />Presumed Benefit Eligible (severely disabled adults, abused children, battered spouses, homeless, <br />elderly over 62 years of age) <br />Elimination of Slum/blight (spot basis) <br />Survey -- Conducted per HUD Regulations <br />Project Description <br />5. Provide a brief overview of the project and identify specifically what Consortium CDBG funds will <br />be used to purchase. <br />If your application is for a Program vs. a Project, provide a copy of your Policies and Procedures. Upload <br />Form 500.1 for Microenterprise; upload Form 600.1 for Minor Home Repair <br />Funds will be used to rehabilitate owner -occupied housing, focusing on health and safety repairs for low to <br />moderate income residents, helping to preserve affordable housing. Funds will pay for repair/rehab in <br />plumbing, electrical and other small jobs. <br />httpt:/2Bomgrants.com/printprop.asp?rfpidu=061DF8F0EC5645FEA418533872F13A6D&propidu=DC91BAB13BB34EF280D4B04AB0A20118&print=R 2/13 <br />