U.S. HOUSING AND URBAN DEVELOPMENT (HUD)-2009

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Request for Release of Funds u.s. Department of Housing OMB No. 2506-0087 and Urban Development (exp. 3/31/2011) and Certification Office of Community Planning and Development This form is to be used by Responsible Entities and Recipients (as defined in 24 CFR 58.2) when requesting the release of funds, and requesting the authority to use such funds, for HUD programs identified by statutes that provide for the assumption of the environmental review responsibility by units of general local government and States. Public reporting burden for this collection of information is estimated to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity) 1. Program Title(s) 2. HUDlState Identification Number 3. Recipient Identification Number CDBG - Neighborhood Stabilization Program (optional) B-08-MN-06-0522 4. OMB Catalog Number(s) 14-218 6. For information about this request, contact (name & phone number) Shelly Landry-Bayle (714)667-2287 (Phone) 5. Name and address of responsible entity City of Santa Ana 20 Civic Center Plaza, M-3? Santa Ana, CA 92701 7. Name and address of recipient (if different than responsible entity) 8. HUD or State Agency and office unit to receive request U.S. Dept. of Housing and Urban Development 611 W. 6th St. Los Angeles, CA 90017 The recipient(s) of assistance under the program(s) listed above requests the release of funds and removal of environmental grant conditions governing the use of the assistance for the following 9. Program Activity(ies)/Project Name(s) 10. Location (Street address, city, county, State) NSP Acquisition and Rehabilitation - Various Foreclosed Single Family Homes 11. Program Activity/Project Description The Program seeks to acquire, rehabilitate, and resell foreclosed single family homes in order to create new home ownership opportunities for Low-/Moderate- and Middle-Income households. A total of $2,015,636 in Neighborhood Stabilization Program funds will be used for this program. All repairs will be made in accordance with Federal regulations. Previous editions are obsolete form HUD-7015.15 (1199)