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<br />APPLICATION FOR <br /> <br />CITY OF SANTA ANA <br />2006-2007 ANNUAL ACTION PLAN <br /> <br />Version 1103 <br /> <br />FEDERAL ASSISTANCE 2. DATE SUBMITTED AP&tcant Identifier <br /> MAY 15, 2006 S. MC-06-0508 <br />1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Appltc.ation Identifier <br />Application Pre-application <br />o Construction 6\ Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal identifier <br />i~ Non~onstrucUon o Non-Constructlon S-06-MC-06-0508 <br />5. APPLICANT INFORMATION <br />Legal Name: Oraanizational Unit: <br /> De~ <br />CITY OF SANTA ANA C MMuNrrv DEVELOPMENT AGENCY <br />O~ntzatlonal DUNS: Division: <br />06 153247 ADMINISTRA liON <br />Address: Nam. and t.l.phon. number of person to be contacted on matters <br />Street: involving this aDDllcation {give ar.a code\ <br /> PrefiX: I )irst Name: <br />20 CIVIC CENTER PlAZA >AS NANCY <br />C1ll'irr Middle Name <br />SA: A ANA T <br />~. Last Name <br />o GE EDWARDS <br />Stale: ZlP Code SUffix; <br />CA 92701 <br />~~try: Email: <br /> nedwardS@CI.santa--ana.ca.us <br />6. EMPLOYER IDENTIFICATION NUMBER (EINt Phone Number (give area code) I Fax NlIDlber(gi...~areacode) <br />~isl-~lQj,o i!oi~~~ 714-667-2244 714-647-6713 <br />8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types) <br />~N'" I!J Continuation [] RevisJon MUNICIPAl <br />f ReVlsion, enter approprtate letter(S) in box{es) Other (spe<:ilY) <br />See back. of form for description of letters.) n D <br /> ' , <br /> ~ <br />Other (specify) 9. NAME OF FEDERAL AGENCY: <br /> HOUSING AND URBAN DEVELOPMENT <br />10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. OeSCRIPnVE TITLE OF APPLICANTS PROJECT: <br /> "!i4!-~I2J'I' FUNDS TO BE USED TO SUPPORT HOMELESS SHELTER <br /> .................... ........ OPERATIONS AND THE PROVISION OF ESSENTIAL SERVICES. <br />TITLE (\'ame of ~""l{ FUNDS Will ALSO BE USEO TO PREVENT HOMELESSNESS AND <br />EMER ENCY SHE TE GRANT <br />U. AREAS AFFECTED BY PROJECT (Cities, Counties. States, etc.): FOR PROGRAM ADMIN. <br />CITY OF SANTA ANA. CA <br />13. PROPOSED PROJECT 14. CONGRESS~NAL DISTRICTS OF: <br />Start Date: 17nd1ng Date: a. Applicant I~Project <br />711106 6130107 46 & 47 46&47 <br />15. ESTIMATED FUNDING: ~:.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> RDER 12372 PROCESS? <br />s. Federal [J THIS PREAPPlICATION/APPlICATION WAS MADE <br /> 304,247 s. Yes. AVAIlABLE TO THE STATE EXECUTIVE ORDER 12372 <br />bApplicall1 PROCESS FOR REVIEW ON <br />c.state DATE: <br />d. local b. No. iZ! PROGRAM IS NOT COVERED BY E. O. 12372 <br />e. Other 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br />ADDI FOR REVIEW <br />1. Program Income 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br />g. TOTAl 304,247 o Yes If '"Yes" attach an explanation_ ~No <br />18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLlCATIONIPREAPPUCATION ARE TRUE AND CORRECT. THE <br />C)OCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPUCANT AND THE APPlfCANT WILL COMPLY WITH THE <br />TTACHEO ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />S. AuthorIZed Re sentative <br />J:.I'Rnx ItI~lti'me iddle Name <br /> N <br />last Name uffix <br />REAM <br />. Title Telephone Number (give are3 code) <br />CITY MANAGER 714-647-5200 <br />Signa1ure of Authorized Representative . Date Signed <br /> MAY 8. 2006 <br /> <br />Prev.ous EdItion Usable <br />Authorized for local Reoroduc!ion <br /> <br />9 <br />190-14 <br /> <br />Standard Fonn 424 (Rev.~2003) <br />Prescribed bv OMB Circular A-102 <br /> <br />4/20/06 <br />