Lake County, Ohio - FY 2008 - HOME Program Application
|[pic] |HOME Investment Partnership Program FY 2021 |COMMISSIONERS |
| |Application for Assistance |John R. Hamercheck |
| | |John Plecnik |
| | |Ron Young |
|COVER PAGES 1 & 2 |
| |Activity Title: Date of Application: |
|1 |Name of Local Government or Agency/Organization Submitting Application: |
| | |
| |Name of Contact: Contact's Email: |
| |Street Address: Telephone number: |
| |DUNS Number: SAMS Number: |
| |HOME Funds Requested: $ |
|2 |Amount of Community’s or Agency’s Commitment to Project $ |
| |Other Funding Sources $ |
| |Total Project / Activity Cost: $ |
| |Can this project/activity be partially funded? ___ Yes ____ No - If yes describe how. |
| |Indicate if a grant or loan is preferable and why. ____ Grant _____ Loan |
|3A |Intended Beneficiary Income level (More than one may be selected) |
| | ................
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