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CDBG 2013-2014 <br />APPLICATION FORM <br />DUE DATE: 5:00 P.m., January 16,, 2013 <br />I. <br />A. <br />B. <br />C. <br />E. <br />ORGANIZATIONAL <br />Department Name: <br />Program/Project Name: <br />Mailing Address: <br />Contact Name: <br />Title: <br />Telephone: <br />Fax: <br />E-Mall: <br />Santa Ana Police Athletic & Activity League <br />12627 W, McFadden Ave. Santa Ana. CA 92704 <br />I Director/Police Office I <br />II. SERVICE AND FUNDING <br />A. Identify which eligible activity is being proposed. (example <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 />6.2. If Limited Clientele-Presumed Beneficiary, Identify the <br />presumed beneficiary category, and the estimated number <br />to benefit from the service <br />6.3. If Limited Clientele-Greater than 51 % Low-Income (LI), <br />Identify the estimated number to benefit from the service <br />and of those the percentage expected to be low-income <br />BA. 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 />2 <br />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 />City of Santa Ana. <br />Presumed Beneficiary <br />Estimated People to be Served <br />2,500 Estimated People to be Served <br />100% Estimated Percentage of People who are LI <br />Estimated number of Housing Units <br />Created <br />Retained <br />$144,000.00 <br />75B-39