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EXHIBIT 2 <br />I. <br />A. <br />B, <br />C. <br />E. <br />II. <br />A. <br />B. <br />B.1. <br />8.2. <br />B.3. <br />B.4- <br />13.5. <br />C. <br />CDBG 2D13-2014 <br />APPLICATION FORM <br />DUE DATE: 6:00 P.m., January 16, 2013 <br />ORGANIZATIONAL <br />Department Name: <br />Program/Project Name: <br />Mailing Address: <br />Contact Name. <br />Title: <br />Telephone; <br />Fax: <br />E-Mail: <br />Director <br />SERVICE AND FUNDING <br />Identify which eligible activity is being proposed. (example <br />Basic Eligible Activity (c) Public Facilities and <br />Improvements. <br />Identify which national objective will be met. <br />If Area-Benefit, identify the boundaries of the service area. <br />If Limited Clientele-Presumed Beneficiary, Identify the <br />presumed beneficiary category and the estimated number <br />to benefit from the service <br />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 />If Low-Income Housing, Identify the estimated number of <br />housing units to be filled with low-income households. <br />If Job Creation/Retention, identify the number of job <br />created and/or retained for low-income individuals <br />Indicate the CDBG funding amount requested. <br />2 <br />Administration <br />? Area-Benefit <br />? Limited Clientele-Presumed Beneficiary <br />? Limited Clientele-Greater than 51% Low-Income <br />? Low-Income Housing <br />? Job Creatlon/Retention <br />Presumed Beneficiary <br />Estimated People to be Served <br />Estimated People to be Served <br />Estimated Percentage of People who are LI <br />Estimated numberof Housing Units <br />Created <br />Retained <br />$1,066,796 <br />75B-5