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<br /> <br /> <br /> <br /> <br /> <br /> CDBG 2013-2014 <br /> APPLICATION FORM <br /> <br /> 1. ORGANIZATIONAL DUE DATE: 5:00 P.M, January 16. 2013 <br /> A. Department Name: CI of Santa Ana PRCSA <br /> B. Program/Project Name: Single Family Rehab <br /> C. Mailing Address: 20 Clvlc Center Drive Santa Ana, CA 92701 <br /> E. Contact Name: Nancy Edwards <br /> Title: Interim Executive Director <br /> Telephone: 714647-5360 <br /> Fax: <br /> E-Mail: <br /> IL SERVICE AND FUNDING <br /> A. Identify which eligible activity is being proposed. (example: <br /> Basic Eligible Activity (c) Public Facliltles and Rehabilitation (a)(1) <br /> Improvements. <br /> ? Area-Benefit <br /> ? Limited Clientele-Presumed Beneficiary <br /> B. Identify which national objective will be met. ? Limited Clientele-Greater than 51 % Law-Income <br /> ® Low-Income Housing <br /> ? Job Creation/Retentlcn <br /> B.1. If Area-Benefit, identify the boundaries of the service area. <br /> B.2. If Limited Ciientele-Presumed Beneficiary, Identify the Presumed Beneficiary <br /> presumed beneficiary category and the estimated number <br /> to benefit from the service Estimated People to be Served <br /> B.3. If Limited Clientele-Greater than 51 % Low-Income (LI), Estimated People to be Served <br /> Identify the estimated number to benefit from the service <br /> and of those the percentage expected to be low-income Estimated Percentage of People who are LI <br /> B.4. If Low-Income Housing, Identify the estimated number of 7 Estimated number of Housing Units <br /> housing units to be filled with low-Income households. <br /> B.5. If Job Creation/Retention, identify the number of job Created <br /> created and/or retained for low-income individuals Retained <br /> C. Indicate the CDBG funding amount requested. $350,000 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 2 <br /> <br /> 75B-83 <br />