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Lxvrthr \ " f\. <br />Homelessness and Affordable Housing Funds <br />2OZl Notice of Funds Available Application Form <br />**Fields outlined in red are required** <br />PROIECT I RMATION <br />Project Title: HopeSource Pathways Project <br />Proiect Site Name(s): PathwaYs <br />project Site Address(s): 1200 South Ruby Street Ellensburg,WA 98926 <br />Which fund source is this proposal for? (select one, see Section 1 of the NOFA for details) <br />Affordable Housing Funds <br />Homeless and Housing Assistance Funds <br />Totaf Project Costs (including other funding and resources)= 2400000 <br />Total Amount Requested (from Kittitas County Homeless Housing and Assistonce or Affordable <br />Housins funds): 750000 <br />Time Frame for Utilization of Requested Funds: 60 dayS <br />City, Town or Unincorporated Area to be served: Ellensburg, WA <br />APPLICANT INFORMATION <br />Name of Applicant organization: llgpeSOUfCe <br />Mailing Address: 700 E Mountain View Ave Suite 501 <br />city, state, Zip: EllenSbufg, WA 98926 <br />Phone: 509-92 5-1448 <br />Fax: 509-92 5-1204 <br />Email Address: Skgrindle@hOpeSOUr6e.US <br />,/ <br />1 <br />Doc lD: 827c530853eb58e65a7bdf36e6b27 6d23884551 f