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, Homelessness and Affordable Housing Funds <br />�Fr , <br />2017 Request for Proposals Application Form <br />ill F. y[ni I <br />"Fields outlined in red are required'' <br />PROJECT INFORMATION <br />Project Title: 14 -House Build Project <br />Project Site Name(s): Houses 18 - 32 <br />Project Site Address(s): To be determined <br />Which fund source is this proposal for? (select one, see Section 1 of the RFP for details) <br />Affordable Housing Funds <br />® Homeless and Housing Assistance Funds <br />Total Project Costs (including other funding and resources): $2,415,000.00 <br />Total Amount Requested (from Kittitas County Homeless Housing and Assistance or Affordable <br />Housing funds): $980,000.00 <br />Time Frame for Utilization of Requested Funds: 6 years - 01/01/2018-12/31/2023 <br />City, Town or Unincorporated Area to be served: Kittitas County, Washington <br />APPLICANT INFORMATION <br />Name of Applicant Organization: Kittitas County Habitat for Humanity <br />Mailing Address: P.O. Box 873 <br />City, State, zip: Ellensburg, WA 98926 <br />Phone: 509-962-5058 <br />Fax: N/A <br />Email Address: <br />