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Additional Federal Funds Leveraged <br />$Locally Leveraged Fun <br />$Anecipated Program Inoonle <br />A ditional State Funds Lever -a '--- <br />eFundLevera <br />ritua," <br />Taal( Funds Leverged for H <br />National Hhusing Trust Fund <br />HTF Project Titles: <br />,Adminiatration <br />SwF Gra* <br />toiteHei <br />ord <br />Ion HU <br />14.275 HTF <br />re <br />$7)4ditiOnat, #0; oodtLee <br />Loco y ellz aged diode <br />14, Grantee Funds <br />$ cribs) Anticipated Ptnor rOgram income <br />Total Funds LeveragediTr-HTIF Pect(a) <br />cy Shelter Grants Program <br />ESG Project ffires <br />4r0„, <br />weged <br />"rrs'aTOratit Amount <br />ditional Federal Funds LveragE <br />., ally <br />$AnUcipated Program n <br />Total FundsLeVerag <br />Funds <br />4.231 ESO <br />aic-11100n of Areas Affected by ES <br />ribe <br />Leveragd <br />di on tate Funds Lev aged <br />Grardee Funds Leveraged <br />Can ressona' <br />A_pplicant Di <br />Is the applicant delinquent on any federal debt? I <br />"Yes" please include an additional document <br />explaining the situation, <br />0 Yes <br />Is application subject to review by state Executive Orde <br />2372 Process? <br />This application was made available to the <br />tate EO 12372 process for review on DATE <br />P o ram is not covered by EO 12372 <br />Program has not been selected by the state <br />for review <br />No <br />Person to be contacted regarding this application <br />Neil <br />Housing Administrator <br />ohcdcdbg@co.ha.wali.hi.us <br />/1uthorized Representative <br />08/961-8379 <br />yotoku <br />08/961-8685 <br />SF 424 <br />0 E <br />Page 2 <br />Version 2.0 <br />