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<br />Anoka County <br />. . <br />Competitive Municipal CDBG Program Fiscal Year 2005 <br />Application for Assistance <br />(Please submit one unbound oriQinal application for each project) <br /> <br /> <br />Applicant Name: <br />Address: <br />City: <br />statelZip: <br /> <br />Contact Person's .Name and TItle: <br /> <br />Phone: <br />E-Mail: - * <br />*PIease provide as notice of Work Committee Meeting/s wiD be done by emaI1 or fax <br /> <br />Fax: <br /> <br />* <br /> <br /> <br />Project TItle: <br />Project Address: <br />OR if address unknown, provide area to be served: <br />Total Project Cost: $ CDBG Funds Requested: $ <br />Project is (check one): D New <br />D Continuation of current project,. we will show a measurable increase in services provided. If you <br />checked this box, be sure to complete Narrative Question 6 on page 5 of this application. <br /> <br />3. Pj:tOJECT SUM~Y- Brieflyl~~ing.bulletpoints,ij~~I.tI1esoec~c.~~ofCDB.G~pcf!~rtl)is'proj8qt. (This <br />. ~mm~will be u~as tml. Project d~rJpt!9nwb~n giventottie..CQJJQlY.~m. for revi~YI) <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />(A more complete description of your project should be given in response to Narrative Question 1 on page 5 of this application.) <br /> <br />>e;'<:;:...::... .... -.... ,', ..... . ;.... -:.:_ ":. . .,':C' "'- - .-< ;. ",:.,' ",:_~ <br /> <br />4. SELJ:CTTHE ~UGIBLE AC~MTY Y~UR PROJ~ T^WlLL MEET: .~ pages 7 & 8 for ~nition/s. <br /> <br />" . .... .... _.' . .' .' .'. . ... .__,..... .....;.:.... '_ ..... ",' . '" ',' ': ',' ......;.;..: . .' ...'. .. . - '.'_~.'.'."."'. ..... " ".' ' , . , .." - - .': -_:-- -c.__.: _' _ -.... .... ,_ .'. .. ..... _ _ ..... u.... ._. .' ..:.'.'. , <br /> <br />D Acquisition <br />D ClearancelDemolition <br />D Code Enforcement <br />D Disposition <br />D Planning <br />D Other: <br /> <br />D Public Facilities & Improvements <br />D Public Services <br />D Rehabilitation Activities <br />D Relocation <br />D Special Economic Development <br /> <br />. .5'.i~~b@CT..T~~~!ig~R~~~~IYOURP~~~g!YIIl.L~~~.i..... . ..... ..............ii. <br /> <br />c~______O_.Jenefttl_DgJ.owlM~mco~yQIl-dleck this boXr-~check~~;}~c_-_ <br />D . Area Benefit <br />D Umfted Clientele <br />D Reduce or Eliminate Slum or Blight: (if you check this box, you must check one below) <br />D Area Basis Onclude census track map or survey results) <br />D Spot Basis (attach photos of the project)