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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 ritle: Youth Homelessness Demonstration project Match Request <br />Project Site Name(s): HopeSource <br />Project Site Address(s): 696 W. 3rd Ave., Ellensburg, WA 9g926 <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 />Total Project costs (including other funding ond resources): $605,g93.00 <br />TotalAmount Requested (irom Kittitas County Homeless Housing and Assistance or Afforciable <br />Housins funds): $55,000.00 <br />Time Frame for Utilization of Requested Funds: AnnUally <br />City, Town or Unincorporated Area to be served: Kittitas County <br />APPLICANT INFORMATION <br />Name of Applicant Organization: flgpgSOUfCe <br />Mailing Address: 606 W. 3rd. Ave <br />City, State, Zip: EllenSbUrg, WA <br />Phone: 509_925 -1449 <br />Fax: 509-925-1204 <br />Email Address: mhollandsworth@hopesOurce.us