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<br />CITY OF SANTA ANA <br />2006-2007 ANNUAL ACTION PLAN <br /> <br />APPLICATION FOR <br /> <br />Version 7103 <br /> <br />FEDERAL ASSISTANCE 2. DATE SUBMmED Appficant lOentifier <br /> MAY 15. 2006 CA 16 HOG-F07S <br />1. TYPE OF SUSMlSSION: 3. DATE RECEIVED BY STATE state Applicalion IdenlIDer <br />Application Pre...applicahon <br />Ig ~onstruction C Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br />Non-Construction o Non-Construction CA 16 H06.F075 <br />5. APPUCANT INFORMA nON <br />legal Name: OrganiZational Unit: <br />CITY OF SANTA ANA DecFMl1ment: <br /> C MMUNITY DEVELOPMENT AGENCY <br />O~nizatlonal DUNS: DMsion: <br />o 153247 HOUSING <br />Address: Naml and telephone number of person to be contacted on mattfi's <br />street involvina this application (give area code) <br /> Prefix: I ~irst Name: <br />20 CIVIC CENTER PLAZA MS SHELLY <br />~ Middle Name <br />'TAANA <br />cou~ last Name <br />ORA GE LANDRY-BAYLE <br />State: Zl~ Code sumx: <br />CA 92701 <br />uosrtry: Email: <br /> Slandry-bayle@ci.santa-ana.ta.us <br />6. EMPLOYER IDENTIFICATION NUMBER (EIN): Phone Number (give area code) I ~ax Number (give aR!3 code) <br />~]-I6!!o'i<!J[QJiIJ~~ 714-667-2240 714-647-6713 <br />8. TYPE OF APPLICAnON: 7. TYPE OF APPUCANT: (See back of form for Application Types) <br />Iili New D Conttnuatlon [] Revl$ion MUNICIPAL <br />f Revision, enter approprtate Ietter(S) in box(eS) Other (speCify) <br />See bad< 01 fOf1Jl for description of letters_) 0 J <br />Other (specify) 9. NAME OF FEDERAL AGENCY: <br /> HOUSING AND URBAN DEVELOPMENT <br />10. CATALOG Of FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE Of APPLICANT'S PROJECT: <br /> lDG 12''41>":;' fUNDS TO BE USED TO PROVIDE HOUSING AND SUPPORTIVE <br /> " -UU~ SERVICES FOR INDIVIDUAlS WITH HIV AND AIOS. FUNDS WILL <br />TiTlE lName 01 pr~m~: ALSO BE USED FOR PROGRAM ADMIN.. FUNDS WilL BE USED <br />HOUS NG OPPOR N IES FOR PERSONS WITH AIDS <br />12. AREAS AFFECTED BY PROJECT (CitieS, Counties, states, etc.); THROUGHOUT ORANGE COUNTY CA <br />CITY Of SANTA ANA. CA <br />13. PROPOSED PROJECT 14. CONGRESStoNAL DISTRICTS OF: <br />start Date: I ~nding Date: a. Applicant b~' Project <br />7/1106 6/30107 39,41,45.46.47. & 48 9.41,45.46,47. & 48 <br />15. EsnMATED FUNDING: ~:. IS APPUCAnON SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> RDER 12372 PROCESS? <br />a. Federal [1 THIS PREAPPLlCATIONJAPPLlCATION WAS MADE <br /> 1,359.000 3. Yes. AVAIlABLE TO THE STATE EXECUTIVE ORDER 12372 <br />b. Applicant PROCESS FOR REVIEW ON <br />C.State DATE: <br />d. local b_No. lZI PROGRAM IS NOT COVERED BY E. O. 12372 <br />e. Other 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br />ADO! FOR REVIEW <br />f. program Income 17.15 THE APPLICANT DEUNQUENT ON ANY FEDERAL DEBT? <br />g. TOTAL 1,359,000 . o Yes If "Yes. attach an explanation. ll!N<l <br />18. TO THE BEST OF MY KNOWlEDGE AND BELIEF. ALL DATA IN THIS APPlICATIONJPREAPPLlCAnON ARE TRUE AND CORRECT. THE <br />OCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />TTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />3. Authorized Re resentative <br />I:iRnx l'tirstName ,!\,,<,IeName <br /> DAVID N <br />last Name ullix <br />REAM <br />Title . Telephone Number (give area code) <br />CITY MANAGER 714-647.5200 <br />Signature of Authorized Representative Date Signed <br /> MAYS, 2006 <br /> <br />PreVIOUS Edition Usable <br />Authoriz:ed for local Reoroductlon <br /> <br />Standard F0flTI424 (Rev.9--2003) <br />Prescribed bv OMB Circular A-102 <br /> <br />4/20/06 <br /> <br />10 <br />190-15 <br />