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~ ~'LIMihlA~T PRC3JEC:T REQUEST FORM <br /> <br />IlL <br /> <br />vi. <br /> <br />Vii. <br /> <br />VIII. <br /> <br /> IX. <br /> <br />.XI. <br /> <br />Xll. <br /> <br />XIII. <br /> <br />XW. <br /> <br />PROJECT NAME: /~/~ ~ 7'H. ~/~' ~.. <br /> <br />I1. PROJE'~'I' ACT]VF/'Y <br /> <br />Briefly describe the project <br />1, Project location (attach a map) <br />2.. Proiect activities (aCCluisition, relocation, <br /> rehabilitation, administration, etc.) <br />3. Detail the number of persons benefitting. <br />4. How are they benefitting? <br />5. How many persons are iow income? <br /> <br />construction, Oemolition, <br /> <br />PROJECT DURATION: <br />A, Is this a on, e, two or three year pro)em? <br />E. Oiv~ Pro)em termination c~ate. <br /> <br />If the Pro)em is more than one year, detail the pro)eot activities by year. <br /> <br />Briefly describe the Community problems that the activities address. <br />(For ex,~mpie, neighborhood bligl~t, tack of Iow income )ohs, subm, andard housing.) <br /> <br />Summarize the funding. <br />A. Total revenue neecied. <br />B. Tota~l C.D.B.G. revenue needed. <br />C. Source and amount of other revenue. <br /> <br />Detail the cost of each amivity (demonstrate hov~ each cost was arrived <br /> <br />Briefly describe the project area. <br /> Its geographicaJ s~ze. <br />B, Number of households, or businesses. <br />C. Adequacy of the public facilities (sewers, water, streets., <br />D. Age .of the neighbomood.., of the homes or businesse-~. <br /> <br />is this pr. oje~ part of a larger e,'lo~? II yes, explain! <br /> <br />Proje~ c~ntam person: <br /> <br />'RESOLUTION OF LOCAL UNiT OF GOVERNMENT: ATTACH TO FORM <br /> <br />'Individual authorized to request reimbursements for project expenses from Anoka <br />County. <br /> <br />ATTACH A PROJECT SCHEDULE. <br /> <br />Detail any demolition of housing subable for lower incom~ households. New <br />requiremeints call for one-for-one replacement. <br /> <br /> <br />