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Homelessness and Affordable Housing Funds <br />2021 EŽƚŝĐĞŽĨ&ƵŶĚƐǀĂŝůĂďůĞ Application Form <br />PROJECT INFORMATION <br />Project Title: <br />Project Site Name(s): <br />Project Site Address(s): <br />Which fund source is this proposal for? (select one, see Section 1 of the EK& for details) <br />Affordable Housing Funds <br />Homeless and Housing Assistance Funds <br />Total Project Costs (including other funding and resources): <br />Total Amount Requested (from Kittitas County Homeless Housing and Assistance or Affordable <br />Housing funds): <br />Time Frame for Utilization of Requested Funds: <br />City, Town or Unincorporated Area to be served: <br />APPLICANT INFORMATION <br />Name of Applicant Organization: <br />Mailing Address: <br />City, State, Zip: <br />Phone: <br />Fax: <br />Email Address: <br />1