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<br />Version 7/03 <br /> <br />FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier <br /> MC-06-0017 -- <br />1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier <br />Application Pre-application 4:DATE RECEIVED BY FEDERAL AGENCY' -.. . - <br />10 Construction LJ' Construction Federal Identifier <br />.IDJiqn.Constructioll--. J:1 Non-Co.nstrucU!ID......L-. ,.....--------'.......--------. .- <br />5. APPLICANT INFORMATION <br />Legal Name: Organizational Unit: <br />City of San Leandro DeJ}artment: <br /> Community Development Department <br />Organizational DUNS: Division: <br />08-616-6261 Housing Services Division <br />Address: Name and telephone number of person to be contacted on matters <br />Street: involving this application (give area code) <br /> Prefix: J~rst Name: <br />_8.35 East.,14th Street Mr. Tom <br /> .~~~ ._"~.~ ~--~- ,-"'-" ..~'"~.- <br />City: Middle Name <br />San Leandro <br />County: -_..",,~,..-----.-,~~- .-.-,,-.- .-_.._---~_._-- <br /> Last Name <br />Alameda Uao <br />State: Zip Code Suffix: ...__.__..._-_.-~ <br />California 94577 <br />CountrY: Email: <br />USA t1iao@ci.san-leandro.ca.us <br />6. EMPLOYER IDENTIFICATION NUMBER (EIN): Phone Number (give area code) \ Fax Number (give area code) <br />~ [i] -@]@][Q][]@][]IT] 510577-6003 510577-6007 <br />B. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types) <br />iV,,; New IT] Continuation n- Revision Municipal <br />If Revision, enter appropriate letter(s) in box(es) <br />(See back of form for description of letters.) 0 0 Other (specify) <br />Other (specify) 9. NAME OF FEDERAL AGENCY: <br /> U.S. Department of Housing & Urban Development (HUD) <br />10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br /> ITJGJ-[]m~ 2006 - 2007 Consolidated Annual Action Plan <br />TITLE ~Name of Program): <br />CD G <br />12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.): <br />City of San Leandro <br />13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: <br />Start Date: I Ending Date: a. Applicant 1 b. Project <br />July 1, 2006 June 30, 2007 Fortney "Pete" Stark 13 <br />15. ESTIMATED FUNDING: 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> ORDER 12372 PROCESS? <br />a. Federal ~ .uu 10 THIS PREAPPLlCATION/APPLlCATION WAS MADE <br /> 755.414 a. Yes. "AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 <br />b. Applicant ~ PROCESS FOR REVIEW ON <br />c. State $ uu DATE: <br />d. Local $ uu ill PROGRAM IS NOT COVERED BY E. O. 12372 <br /> b. No. <br />e. Other $ uu lJ OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br />(un allocated CDBG) 178,558 FOR REVIEW <br />f. Program Income ~ 2,627 . 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br />g. TOTAL ~ 936.599 [] Yes If "Yes" attach an explanation. Ie] No <br />18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLlCATION/PREAPPLlCATION ARE TRUE AND CORRECT. THE <br />DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />a. Authorized Reoresentative <br />Pr~ First Name Middle Name <br />r. Stephen <br />Last Name Suffix <br />Hollister <br />b. Title . Telephone Number (give area code) <br />Assistant City Manager 510577-3389 <br />d. Signature of Authorized Representative .....-;:::?'A" --~~ ~. Date Signed <br /> May 2, 2006 <br /> <br />APPLICATION FOR <br /> <br />PrevIous Edition Usable <br />Authorized for Local Reoroduction <br /> <br />Standard Form 424 (Rev.9-2003) <br />Prescribed bv OMB Circular A-102 <br />