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❑ Abused children ❑ Illiterate Adults ❑ Homeless Persons <br /> ❑ Battered spouses ❑ Migrant Farm Workers ❑ Severely Disabled* • <br /> ❑ Elderly (62 years +r ❑ Persons with AIDS <br /> *HUD definition in Application Guide <br /> Housing ❑ Single- family ❑ Townhome <br /> Type of Housing ❑ 2 -, 3 -, or 4 -plex ❑ Single -Room Occupancy <br /> Activities <br /> El Multi- family ❑ Other: <br /> ❑ Yes Owner- occupied <br /> ® No Tenancy Renter - occupied <br /> 0-30% Area Median Income <br /> Income Level of Clients ❑ 31 -50 %Area Median Income <br /> *AII housing activities <br /> will be considered for ❑ 51-80% Area Median Income <br /> HOME funds before the ❑ Not applicable <br /> use of CDBG Benefit to Homeless ❑ Homeless individuals <br /> ❑ Homeless families <br /> Non - Homeless Special 0 Elderly (62 years +) ❑ Alcohol /drug abuse <br /> Need Population ❑ Developmentally disabled ❑ Physical disability <br /> Served ❑ Severe mental illness ❑ Victims of domestic <br /> ❑ HIV /AIDS violence <br /> Total Number of Units Number Occupied: <br /> Overall in Project Number Vacant: <br /> ❑ Section 504 accessible ❑ Qualify as Energy Star <br /> ❑ Occupied by elderly (62 +) standards • <br /> ❑ Designated for persons ❑ Brought from <br /> Special Categories with HIV /AIDS substandard to standard <br /> ❑ Brought into compliance ❑ Designated for <br /> with lead -based paint chronically homeless <br /> rules <br /> Acquisition, ❑ Single- or Multi- Family Housing <br /> ❑ Farm land and structures <br /> Rehabilitation <br /> T ype of Land ❑ Vacant land; free from any structures <br /> Demolition, ❑ Business, commercial, or industrial <br /> Clearance, and Indicate the status of the project site and attach <br /> Conversion documentation (lease agreement, purchase option, or <br /> property deed): <br /> Site Control ❑ Applicant owns property: Date acquired <br /> ❑ Lease: Expiration date <br /> Option to purchase: Expiration date <br /> ❑ Other: Describe <br /> Is the site zoned for the proposed activity? ❑ Yes ❑ No <br /> Zoning If no, provide an explanation and timetable to change <br /> • <br /> 4 Anoka County CDBG Project Application <br /> 48 <br />