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I. <br />A. <br />B. <br />C. <br />E. <br />ii. <br />A. <br />CDBG 2015-2014 <br />APPLICATION FORM <br />ORGANIZATIONAL DUE DATE: 5:00 p,m. January 16, 2013 <br />-Department Name: <br />Program/Project Name: <br />Mailing Address: <br />Contact Name: <br />Title: <br />Telephone: <br />Fax: <br />E-Mail: <br />SERVICE A <br />Santa Ana Police De artement <br />HEART <br />60 Civic Center Drive, Santa Ana, CA 92701 <br />End ue Es arza <br />Ser eant <br />714-245-8729 <br />eesparza@santa-ane.org <br />ND FUNDING <br />Identify which eligible activity is being proposed. (exampl <br />Basic Eligible Activity (c) Public Facilities and <br />Improvements, <br />B. Identify which national objective will be met. <br />13.1. If Area-Benefit, identify the boundaries of the service area <br />B,2, If Limited Clientele-Presumed Beneficiary, Identify the <br />presumed beneficiary category and the estimated number <br />to benefit from the service <br />8,3. If Limited Clientele-Greater than 51% Low-Income (Li), <br />Identify the estimated number to benefit from the service <br />and o~ those the percentage expected to be low-income <br />B.4. If Low-Income Housing, identify the estimated number of <br />housing units to be filled with low-income households. <br />B.5. If Job Creation/Retention, identify the number of job <br />created and/or retained for low-income individuals <br />C. Indicate the CDBG funding amount requested. <br />570.201(e) Public Service <br />? Area-Benefit <br />® Limited Clientele-Presumed Beneficiary <br />? Limited Clientele-Greater than 51% Low-Income <br />? Low-Income Housing <br />? Job Creation/Retention <br />i <br />Homelss Presumed Beneficiary <br />150 Estimated People to be Served <br />Estimated People to be Served <br />Estimated Percentage of People who are LI <br />Estimated number of Housing Units <br />Created <br />Retained <br />$35000 <br />2 <br />75B-27