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<br />Provide a general project budget. If this information is available in another format, attach to meet this <br />requirement: <br /> <br />Proposed expenditure Project COBG <br /> A1locat1(l1l <br />Acquisition $ $ <br />Closing Costs $ $ <br />Permits & Fees $ $ <br />Surveys/Appraisals $ $ <br />Design, Architect, Legal Fees $ $ <br />Materials $ $ <br />Relocation $ $ <br />Demolition $ $ <br />Environmental Hazard Assessment $ $ <br />Clearance of Hazardous Substance $ $ <br />Site Development & Landscape $ $ <br />Pavement, Roads and Sidewalks $ $ <br />Utilities, Water, Sewer $ $ 150,000 <br /> 150,000 <br />Other: $ $ <br />Other: $ $ <br />Other: $ $ <br /> <br /> <br />This activity must meet the needs of low and moderate income individuals. Please identify how you will meet <br />this requirement: <br /> <br />D Low/Mod Jobs (minimum 1 per $35,000) <br />D Low/Mod Housing <br />D Single Family Housing (100% low/mod requirement) <br />D Multi Family (51% low/mod requirement) <br />D Low/Mod Businesses (must qualify as microenterprise) <br />[g] Low/Mod People (51% of clientele served by project must be low/mod) <br />D Low/Mod Area <br />D Attach - Project area map (required) <br />D Attach - Service area map (required) <br /> <br />~__."___"_ UF. <br /> <br />Federal requirements mandate the completion of an environmental review prior to any action initiated on a <br />project. Please answer the following so we may satisfy all necessary federal requirements. <br /> <br />1. Is your project currently underway? <br />D Yes, construction has begun <br />D Project has already completed a federally accepted environmental review <br />[g] No, project has not initiated any action on site. <br /> <br />2. Does the project include repair, rehabilitation or conversion of existing structures? No <br />[l If yes, what year were structures built on site? <br />iJ Are they residential or commercial/industrial? <br />C Will there be any changes in zoning to accommodate new project? <br />If yes, describe timetable to change zoning or obtain variance: <br />