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<br />Homeless and Affordable Housing Funding Request for Proposals <br />Approved by the Kittitas County Board of Commissioners on February 21, 2017 <br />10 <br /> <br />Type of Organization: <br /> Government <br /> Non-Profit <br /> For-Profit <br /> Local housing authority <br /> Tribe <br /> <br />PROJECT CONTACTS <br /> <br />Name of Organization Director: <br /> <br />Phone: <br /> <br />Email: <br /> <br /> <br />Project Contact Name: <br /> <br />Title: <br /> <br />Phone: <br /> <br />Email Address: <br /> <br /> <br />Fiscal Contact Name: <br /> <br />Phone: <br /> <br />Email Address: <br /> <br /> <br />Name and Title of Authorized Representative: <br /> <br />Acceptance of this application may be subject to subsequent compliance reviews, including a <br />review of the latest audit of financial statement. Preparation of an application does not <br />guarantee that applicants will receive funds. By signing this grant application form the <br />undersigned certifies that all information is accurate to the best of his/her knowledge. <br /> <br /> <br />__________________________________ ____________ <br />Signature of Authorized Representative Date