PART 1 – Applicant Information Applicant Name: Chief Elected Official: Administrative Official: Government Address: City/County: Zip: Local Government Phone Number: ( ) - Local Planning Development Commission: Project Name: Project Location: DUNS number: U.S. Congressional District Number: State House of Delegates District(s): State Senate District(s): Population of Applicant Locality: Project Type (check one): Comprehensive Community Development Housing Economic Development Community Facility Community Service Facility National Objectives: Please check the Objectives applicable to your project and provide the approximate amount of CDBG funds attributed to each: Low and Moderate Income Benefit $ Urgent $ Elimination of Slum and Blight $ Project Primary Contact Application Preparer Contact Name: Name: Title: Title: Phone: ( ) - Phone: ( ) - Email: Email: Active CDBG Projects PROJECT NAME AMOUNT Project overview and funding Summary
1 – Applicant Information Applicant Name: Chief Elected Official: Administrative Official: Government Address: City/County: Zip: Local Government Phone Number: ( ) - Local Planning Development Commission: Project Name: Project Location: DUNS number: U.S. Congressional District Number: State House of Delegates District(s): State Senate District(s): Population of Applicant Locality: Project Type (check one): Comprehensive Community Development Economic Development Housing Community Facility Community Service Facility National Objectives: Please check the Objectives applicable to your project and provide the approximate amount of CDBG funds attributed to each: Low and Moderate Income Benefit $ Urgent $ Elimination of Slum and Blight $ Project Primary Contact Name: Title: Phone: ( ) - Email: Application Preparer Contact Name: Title: Phone: ( ) - Email: Active CDBG Projects Project overview and funding Summary PART NAME AMOUNT PROJECT
CDBG%20Competitive%20RFP.docx