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Federal Register/Vol. 68, No. 199/Wednesday, October 15, 2003/Notices 59467 <br /> ApQerx3ix 2 � <br /> Application for U.S.Department of Housing OMB Approval No.2501-0017(exp.03I31/2005) <br /> Federal Assistance and Urban Development <br /> 2.Date Submitted 4.HUO Applieatlon Number <br /> 1. Type of Submission <br /> � Applieatlon � Preappliwdon 3.Date and Time Received by HUD 5.ExlsOng Grant Number <br /> M-03-MC-17-0203 <br /> 6.Applicant Identifiptlon Number <br /> 7.ApplicanYs Legal Name 8.Organizational Unit <br /> City of Decatur Munici alit <br /> 9.Address(give eiry,county,SWte,and zip code) 10.Name,tltle,telephone number,fax number,and e-mail ot the person to be <br /> n.Aedress: ��1 Gary K. Anderson Plaza CO^�ded on matters inwlving this application(induding area codes) <br /> e•�'� Decatur n.Name: Teresa Cunningham <br /> c.co��ty: Macon s.r"e: Neighborhood/Housing Planner <br /> o.saea: IL c.P11O"8: 217-424-2795 <br /> E.Dp Code: D.Fa�c <br /> 62523 E,E.,,,a;i; 217-424-2728/tcunningham@decaturn t.org <br /> 11.Employer ldentifiotion Number(EIN)or SSN 12.Type ot Applicant(enter appropriate letter in box) <br /> A.State I.Universiry or Coliege <br /> 37=6001308 s.counry J.Indfan Tribe <br /> 13.Type of Apppeation C.Munidpal K.T�bally Designated Housing Entity(TDHE) <br /> New � Continua6on � Renewal � Revision O.Township L Individual <br /> E.Interstate M.Profit Organizatlon <br /> If Revision,enter appropriate letters in box(es) � � F.Intertnunicipal N.Non-profit <br /> A.Inaease Amount B.Decrease Amou�t C.Increase Duredon G.Special Distrid O.Public Housing Authority <br /> O.Decrease�uretion E.Other(Specify) H.Independent School DisVict P.Other(Specify) <br /> 14.Name oi Federal Agenry <br /> U.S.Department of Housing and Urban Deveiopment <br /> 15.Caqlog of Federol Domes6c Assistance(CFOA)Number 16.Oeseriptive Title o(ApplipnYs Program <br /> 4—�9 Provision of permanent housing units <br /> r"e' � p�Ogr� for chronically homeless individuals <br /> Component Title: <br /> 17.Areas afteded by Program(boroughs,eiCes,counces,States, <br /> Indian Reservatlon,etc.) I <br /> Cor orate limits of Decatur Illin is <br /> 18a.Proposed Program start date 78b.Proposed Program end date 19a.Congressanal Districts of Applipnt 19b.Congressional DisUids of I <br /> 5 1 04 LF Program <br /> 20.Estimated Funding: Applieant must completa the Funding Matrlx on Pag�2. <br /> 21.Is Appliw6on wbjed to review by Sbte Exewtrve OMer 12372 ProcessT <br /> A. Yea This preappBcatioNappBptfon was made available W the State Execufive Order 12372 Proeess for review on:Date <br /> 8. No Program ia not covered by E.O.12372 � <br /> � Program has rat been selected by State for review. ' � <br /> 22.ls the Appll�ant delinquent on any Fedetal debt? No � <br /> � Yes If'Yes,'explain below or attaeh an explanadon. �� <br /> City of Decatur DUNS number: 075613000 <br /> fortn HUD-424(Ot/2003) <br /> Previous versions of HUD-424 and 424M are obsolete Page 1 oi 2 ref.OMB Circular A-102 <br />