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HomelessnessandAffordableHousing'Funds2017RequestforProposalsoApplicationForm**Fieldsoutlinedinredarerequired**PROJECTINFORMATIONProjectTitle:SeniorSupportandAdvocacyProgram(SSAP)ProjectSiteName(s):HopeSourceProjectSiteAddress(s):700EastMountainViewAvenue,Suite501,Ellensburg,WA98926Whichfundsourceisthisproposalfor?(selectone,seeSection1oftheRFPfordetails)AffordableHousingFundsXHomelessandHousingAssistanceFundsTotalProjectcosts(includingotherfundingandresources):$137,057.02plus3%annuallyTotalAmountRequested(fromKittitasCountyHomelessHousingandAssistanceorAffordableHousingfunds):$128,555.05plus3%annuallyTimeFrameforUtilizationofRequestedFunds:Permanentwithreviewevery5yearsCity,TownorUnincorporatedAreatobeserved:KittitasCountyAPPUCANTINFORMATIONNameofApplicantOrganization:HopeSourceMailingAddress:700EastMountainViewAvenue,Suite501City,State,Zip:Ellensburg,Washington98926Phone:509-925-1448Fax:509-925-1204EmailAddress:skgrindle(Shopesource.us1