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I <br /> <br /> I <br /> I <br /> I <br /> I <br /> i <br /> I <br /> I <br />I <br /> I <br /> I <br /> I <br /> I <br />I <br />I <br />I <br />I <br /> <br />Alexandra House~ Inc. <br />PRELIMINARY PROJECT REQUEST FORM <br />Page 2 <br /> <br />C. Source and amount of other revenue Andover (2,000) Anoka ($4,500) Blaine (15,000) <br />Burns (1,500) Columbia Heights (3,500 Columbus (1,000) Coon Rapids (5,000) Fridley <br />(5,000) Ham Lake (1,000 Linwood Township (1,000) Lino Lakes (5,000) Oak Grove <br />(1,000) Spring Lake Park (1,000) St. Francis (1,000) <br /> <br />VII. <br /> <br />Detail the cost of each activity (demonstrate how each cost was arrived at) Cost of <br />stay at Alexandra House will be $98.06 based on the cost of security and shelter <br />maintenance as noted on our attached Per Diem Budget. <br /> <br />VIII. <br /> <br />Briefly describe the project area. Alexandra House serves battered women and <br />families from a total Anoka County population of 261,814. Our priority is Anoka County <br />with additional service to the remaining 6 county metro areas. <br /> <br />IX. <br /> <br />Is this project part of a larger effort? If yes, please explain! Yes, the Residential <br />Program is only one segment of Alexandra House domestic violence services, the other <br />being Community Programs. Please see the attached chart, Residential and Community <br />Programs for a more detailed listing of Alexandra House services. <br /> <br />PROJECT CONTACT PERSON Pat Prinzevalle, Executive Director, Alexandra <br />House, Inc. <br /> <br />XI. RESOLUTION OF LOCAL UNIT OF GOVERNMENT N/A <br /> <br />XII. <br /> <br />Individual authorized to request reimbursements for project expenses from Anoka <br />County. Pat Prinzevalle, Executive Director, Alexandra House, Inc.. <br /> <br />XIII. ATTACH A PROJECT SCHEDULE Alexandra House services are ongoing with no <br /> timeline for delivery. <br /> <br />XIV. Detail any demolition of housing suitable for lower income households. N / A <br /> <br /> <br />