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L,nprrn Vynp <br />VvStms <br />Homelessness and Affordable Housing Funds <br />2020 Notice of Funds Available Application Form <br />**Fields outlined in red are required.^ <br />PRqJECT TNFORMATTON <br />Project Titte; Addison place <br />Project Site Name{sl: Addison place <br />Project Site Address(s): ZOS S. pearl Street, Ellensburg, WA gEg26 <br />Which fund source is this proposal for? (select one, see Section 1 of the NoFA for details) <br />cg Affordable Housing Funds <br />Homeless and Housing Assistance Funds <br />Total Project costs (incrudrng otherfunding ond resources/: $g25,632.00 <br />Total Amount R€quested (from Kittttos county Homeless Housing and Assistonce or Affordabte <br />Housins fundsl: $332, g 1 6.00 <br />Time Frame for Utitization of Requested Funds: ThfOUgh 12t3112020 <br />City, Town or Unincorporated Area to be served: Ellensburg WA <br />AFPIICAT'TT INFORMATISru <br />Name of Applicant Organizarion: HOpeSOUfCe <br />Mailing Address: 700 E Mountain View Ave Suite S01 <br />Citn State, Zip: EllenSburg, WA 9g926 <br />Phone: S0g-g2S_1449 <br />Fax: 509-925- pA4 <br />Emall Address: skgrindle@hopesource.us