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SCHEDULE HCD-D1 <br />GENERAL PROJECT/PROGRAM INFORMATION <br />A separate Schedule HCD-D1 and all applicable Schedules HCD D2-D7 must be completed for each Housing Project. <br />Agency: Redevelopment Agency of the City of San Leandro <br />%development Project/Program Area Name, or "Outside": Outside <br />,using Project/Program Name: CDBG Single Family Rehabilitation Program <br />Project/Program Address: <br />Street: Cam: ZIP: <br />Various = <br />Owner Name: <br />Total Project/Program Units: # Restricted Units: # Unrestricted Units: # <br />Total Project/Program Bedrooms: # Restricted Bedrooms: # Unrestricted Bedrooms: # <br />For projects with no Agency assistance, do not complete any more of HCD-131 or any of HCD 1102-D6. Only complete HCD-D7. <br />Was this a federally assisted multi -family rental project [Gov't Code Section 65863:10(a)(2)]? ❑ YES ® NO <br />Number of units occupied by ineligible households (e.g. ineligible income/# of residents in unit) at FY end # Q <br />Number of bedrooms occupied by ineligible persons (e.g. ineligible income/# of residents in unit) at FY # 0 <br />end <br />Number of units restricted for special needs: (Number must not exceed "Total Project Units') # 0 <br />Number of units restricted that are serving one or more Special Needs: # 0 ❑ Check, if data not available <br />(Note: A unit may serve more than one of the "Special Needs" listed below, therefore the sum of all "Special Needs" can <br />exceed the "Number of Units Restricted for Special Needs') <br /># DISABLED (Mental) # FARMWORKER (Permanent) # TRANSITIONAL HOUSING <br /># _ DISABLED (Physical) # FEMALE HEAD OF HOUSHOLD # ELDERLY <br />_ FARMWORKER (Migrant) # LARGE FAMILY # EMERGENCY SHELTERS <br />(4 or more Bedrooms) (allowable use only with "Other Housing <br />Units Provided - Without LMIHF" Sch-D6 <br />Replacement <br />Housing Units <br />Inclusionary Housing Units <br />Other Housing Units Provided <br />Inside Project Area <br />Outside Project Area <br />With LMIHF <br />Without LMIHF <br />Inception <br />Termination <br />Funding Sources: <br />Redevelopment Funds: <br />$ <br />Federal Funds <br />$ 148,000 <br />State Funds: <br />$ <br />Other Local Funds: <br />$ <br />Private Funds: <br />$ <br />Owner's Equity: <br />$ <br />TCAC/Federal Award: <br />$ <br />TCAC/State Award: <br />$ <br />Total Development/Purchase Cost: <br />$ <br />Check all appropriate form(s) listed below that will be used to identify this Project's/Program's Units or Bedrooms: <br />❑ Replacement Housing Units <br />Inclusionary Units: <br />Other Housing Units Provided: <br />(Sch HCD-D2) <br />❑Inside Project Area (Sch HCD-D3) <br />®With LMIHF (Sch HCD-D5) <br />❑ Outside Project Area (Sch HCD-D4) <br />❑ Without LMIHF (Sch HCD-D6) <br />❑ Without any Agency Assistance <br />(Sch HCD-D7) <br />California Redevelopment Agencies - Fiscal Year 2000-2001 HCD-D1 <br />Sch D1 (7/1/01) <br />