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Other Does the project: <br /> • Include repair, rehabilitation, or conversion of existing building /facilities? <br /> n Yes M No <br /> • Involve new construction, acquisition of undeveloped land or any construction that <br /> requires ground disturbance? <br /> El Yes ®No <br /> • <br /> Conflict of Interest <br /> As an applicant requesting funding, will any of your employees, agents, consultants, officers, or <br /> elected officials meet any of the following conflicts of interest: <br /> [� YesL No Participate in the decision making process for the approval of this application? (Le., an Anoka <br /> County Commissioner or HRA Trustee) <br /> n YesN No Have a financial interest or reap a financial benefit from this activity? <br /> ❑ Yes No Have an interest in any contract, subcontract, or agreement with respect to this application <br /> either for themselves or those with whom they have family or business ties during the program <br /> year and for one year thereafter? <br /> Project Beneficiaries <br /> Select the type of beneficiaries this project will address and the number of expected accomplishments. <br /> Area or Spot designation • <br /> n Households - Enter # households <br /> n People - Enter # unduplicated people <br /> ❑ Businesses - Enter # businesses <br /> n Housing Units - Enter # units <br /> n Jobs - Enter # jobs <br /> U Public Facilities - Enter # facilities <br /> ❑ Demolition /clearance - Enter # units <br /> n Planning: Outline the community benefit in a brief narrative. <br /> Use of Contractors, Consultants <br /> In accordance with federal regulations, CDBG funds may not be used to directly or indirectly employ, award <br /> contracts to, or otherwise engage the services or any contractor or Subrecipient during any period of <br /> debarment, suspension, or placement of ineligibility status. <br /> Will you hire a contractor or consultant? n Yes n No <br /> If yes, complete the following information: <br /> 1. Name of consultant /firm and owner: <br /> 3 Anoka County CDBG Application <br /> 34 <br />