Fillable APPLICATION COVER PAGE CITY OF DULUTH COMMUNITY DEVELOPMENT (City of Duluth)

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APPLICATION COVER PAGE CITY OF DULUTH COMMUNITY DEVELOPMENT (City of Duluth)

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APPLICATION COVER PAGE
CITY OF DULUTH
COMMUNITY DEVELOPMENT PROGRAMS
Please submit completed applications to duluthcommdev@duluthmn.gov
APPLICANT INFORMATION
Organization Name: ___________________________________________________
Address:
Contact Person: ______________________________________________________
Phone: _____________________________________________________________
E-mail: _____________________________________________________________
Type of Organization: __________________________________________________
PROPOSAL INFORMATION
Proposal Name: ______________________________________________________
Funding Amount Requested: ____________________________________________
Proposal Service Goal:
_______________________________ __________________________
(number served with CDBG/ESG/HOME funds) (unit: households, people, etc.)
LMI Service Goal %: ______________
Please indicate the applicable funding category(s):
Community Development
Block Grant
Housing
Economic
Development
Public Facilities
Public Services
HOME Investment
Partnership
Homeowner
Development
Rental Development
CHDO Operating
Project Specific Loan
Buyer Assistance
Tenant Based Rental
Assistance
Emergency Solutions
Grant Program
Shelter Operation
Street Outreach
Flex Fund
HMIS
Unsure of funding category
The information you provide on this application is classified as public data under the Minnesota
Government Data Practices Act. Public data must be provided to any person or entity that requests it.
FY 2020 HOME CDBG / ESG / HOME Programs - Application Cover Page
1. CONSOLIDATED PLAN PRIORITY AND ELIGIBLE ACTIVITY
Proposal Summary (40 words or less):
Consolidated Plan Goals: Please indicate which Consolidated Plan goal(s) the
proposed project addresses and explain how it addresses each goal.
Infrastructure Improvements
Increase Incomes
Homeless Services
Transportation Access
Create Living Wage Jobs
Public Services
Affordable Housing
Health Services
Childcare Access
Neighborhood Revitalization
Food Access
CD Committee’s Mission: Describe how the proposal meets the stated Community
Development Committee’s mission to invest in community programs that help low and
moderate income people by addressing basic needs, providing affordable housing, and
increasing economic self-sufficiency.
Anti-Poverty Strategy: Please indicate which Anti-Poverty Strategy policies the
proposed project addresses and explain how it addresses each policy.
Policy 1: Training and Career Development
Policy 3: Reduce Housing and Utility Costs
Policy 2: Remove Barriers to Obtaining
Employment
Policy 4: Increase Affordable Housing
Units
FY 2020 HOME CDBG / ESG / HOME Programs - Application Page 2
Eligible Activity and National Objective: (Describe how this proposal will meet HUD’s
National Objective and identify the Eligible Activity):
Specialized Improvement Area: (If applicable, describe how this proposal will benefit a
Specialized Improvement Area):
2. PROJECT READINESS
3. PROJECT IMPACT AND DELIVERY
Achievement of Expected Results:
FY 2020 HOME CDBG / ESG / HOME Programs - Application Page 4
Target Clientele:
Outcome Measurements:
Business/Operations Plan Approach:
FY 2020 HOME CDBG / ESG / HOME Programs - Application Page 6
4. BUDGET NARRATIVE PAGE (Financial Considerations)
Source
Amount
Secured
Anticipated
CDBG
ESG
HOME
Total
B. Program Uses:
_________ CDBG/ESG/HOME per one ________________ served
(___/___)
_________ per one ________________ served
(___/___)
C. Funding Need:
$ 0.00
$ 0.00
$0
$0
BUDGET SPREADSHEET
Total Application Request for City Funds: ______________________
Sources and Uses of Funding for Application
Itemize budget and list what source(s) will pay for each line item. Table should include the budget for the entire
program/project. Please indicate the service goal for each type of HUD funding in the box above the applicable funding
source(s).
Project Service Goal
Budget Item
CDBG
ESG
HOME
Other
Public
Other
Private
Total
TOTALS
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
FY 2020 HOME CDBG / ESG / HOME Programs - Application Budget Spreadsheet Page
HOUSING SPREADSHEET
**Required for Housing Projects ONLY
Fill out the table below to summarize the types of units in the project. Please fill in the number of
units that will be single family or multifamily and the number of owner occupied and rental units.
Rehab Projects
Owner Occupied
Rental
Total
CDBG/HOME unit cost
Single Family Units
Multifamily Units
Total
New Construction Projects
Owner Occupied
Rental
Total
CDBG/HOME unit cost
Single Family Units
Multifamily Units
Total
0
0
0
0
0
0
0
0
0
0
FY 2020 HOME CDBG / ESG / HOME Programs - Application Housing Spreadsheet Page
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APPLICATION COVER PAGE CITY OF DULUTH COMMUNITY DEVELOPMENT (City of Duluth)

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Completed 3 August 2020

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