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Homelessness and Affordable Housing Funds <br />2021 Notice of Funds Available Application Form <br />'"Fieids oullined in red are required'. <br />PEPJECT INFORIVLATION <br />Project Title: Cle Elum New Build <br />Project Slte Name{s): Hopesource Cle Elum New Build <br />Project Site Address{s): wfihtrelO <br />Which fund source is this proposal for? (select one, 5ee section 1 of the NoFA for details) <br />(D nfforOaOle Housing Funds <br />Q to*"t.ts and Housing Assistance Funds <br />Total proJect cosrs (including o$er fundlng and resourcesl: $ 1 s,7J1 ,T27 .0a <br />Total Amount Requested (from Kittitas County Homeless Houslng ond Assistonce or Affordable <br />Houstns funds), $250,000.00 <br />Time Frame for Utilization of Requested Funds: DeCembef 2021-DeCembef 2AZ3 <br />City, Town or Unincorporated Area to be served: Cle Elum <br />APPUCANT tNFORMATtOry <br />Name of Applicant Organization: HOpeSOUfCe <br />Mailing Address; 700 E Mountain View Ave Suite S01 <br />City, State, zip: f llgngbUrg, WA 98926 <br />Phone: S0g,g2S.144g <br />Fax: $S$-$25-1204 <br />Email Address: Skgrindle@hOpesourge.US