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Homelessness and Affordable Housing Funds <br />2021 Notice of Funds Available Application Form <br />**Fields outlined in red are required** <br />PROJECT INFORMATION <br />Project Title: Cle Elum New Build <br />Project Site Name(s): HopeSource Cle Elum New Build <br />Project Site Address(sf : ty;166s16 <br />Which fund source is this proposal for? (select one, see Section 1 of the NOFA for details) <br />&q Affordable Housing Funds <br />Homeless and Housing Assistance Funds <br />Total Project costs (including otherlunding and resourcesr: $1 S,TJ1,T2T.A0 <br />Total Amount Requested (from Kittitos County Homeless Housing ond Assistance or Afiordable <br />Housins funasl: $750,000.00 <br />Time Frame for Utilization of Requested Funds: DeCembe f 2021-DeCemb ef 2022 <br />City, Town or Unincorporated Area to be served: Cle Elum <br />APPTICANT INFORMATION <br />Name of Applicant Organization: llgpgSOUfCe <br />Mailing Address: 700 E Mountain View Ave Suite S01 <br />City, State, Zip: EllenSbUrg, WA 98926 <br />Phone: 509,925.1449 <br />Fax: 509-925-1204 <br />Email Address: Skgrindle@hOpesourge.us