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CITY OF SANTA ANA <br />2006-2007 ANNUAL ACTION PLAN <br />A DDI ICATIfIN CAR <br />Version 7103 <br />FEDERAL ASSISTANCE z. DATE SUBMITTED Apoticani IdemiOer <br /> MAY 15, 2006 S-OS-MC-06-0508 <br />1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Applkation Itlenli0er <br />ApPOCaOon Preapplication <br />Construction ~ Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Idetltiher <br />' Non-COnstruetlon (~NOn-COnstruetlon S-06-MC-05-0508 <br />5. APPLICANT INFORMATION <br />Legal Nam: Or anim6onal Unit <br />CITY OF SANTA ANA ce <br />C MMUNITY DEVELOPMENT AGENCY <br />Ofrpgaam7atbnal GUNS: Divisbn: <br />069153247 ADMINISTRATION <br />Address: Name aMl teUphona number of person to be wntacted otl matters <br />Street invotvmg this a lleadon {give area eotle <br /> PreOX: First Name: <br />CIVIC CENTER PLAZA <br />20 MS NANGV <br />ty <br />S MKMIe Name <br />AN <br />T <br />A ANA <br />tVv <br />7 <br />o RDS <br />E <br />O <br />RANGE DWA <br />State: Z~ Cotle Sumx: <br />CA 92701 <br />Country: Email: <br />USA netlwaYdS~tl.Santa-ana.ca.us <br />6. EMPLOYER IDENTIFICATION NUMBER (E/NJ: Phone Number (give area wde} Fax Nlenber jgivearea code) <br />;~r5 ~•0 i~010 ~ 6 ~ 714-667-2244 774-647-6713 <br />B. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Appgcation Types} <br />New ~ Contlnuation ~ Revision MUNICIPAL <br />f Revision, enter appropriate lerier(s) m box{es) <br />See back rn twm for description rn Tellers.) y ~ then (specify) <br />Otter (speci/y) 9. NAME OF FEDERAL AGENCY: <br /> HOUSING AND URBAN DEVELOPMENT <br />70. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TRLE OF APPLICANTS PROJECT: <br />~ !! dj~ "1ri; ~ <br />` FUNDS TO BE USED TO SUPPORT HOMELESS SHELTER <br />JLJ OPERATIONS AND THE PROVISION OF ESSENTIAL SERVICES. <br />TITLE (Name rn Proo2m}: <br />EMERGENCY SHELTER GRANT FUNDS WILL ALSO eE USED TO PREVENT HOMELESSNESS AND <br /> FOR PROGRAM ADMIN <br />12 AREAS AFFECTED BY PROJECT (Gitks, CoarPO~eq Stales, etc.): . <br />CITY OF SANTA ANA, CA <br />13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: <br />Start Date: Ending Dale: a. Applicant D. Project <br />711/06 6!30/07 d6 547 45 & 47 <br />16. ESTIMATED FUNDING: 16.15 APPLICATION SUBJECT TO RE4REW BY STATE EXECUTIVE <br /> RDER 12372 PROCES57 <br />a. Federal <br />' THIS PREAPPLICATION/APPLICATION WAS MADE <br />a <br />Yes <br />~ <br /> 304 247 . <br />. <br />AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 <br />D- Appkcant PROCESS FOR REVIEW ON <br />e. State DATE: <br />d. Local [!€ PROGRAM IS NOT COVERED BY E. O. 12372 <br />N <br /> b- <br />o. <br />e Other ~ OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br />ADDI FOR REVIEW <br />t. PPOglam Income 17. IS THE APPLICANT D£LINOUENT ON ANY FEDERAL DE8T7 <br />g. TOTAL <br />304,247 ~ <br />~ Yes I1'Yes' atach an explanation- ~ No <br />13. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE <br />OCUMENT HAS BEFJ7 DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT ANO THE APPLICANT WILL COMPLY WITH THE <br />TTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />a. Authorized Re sentative <br />~nx Orst Name Ndtlle Name <br />AVID <br />Last Name utfix <br />REAM <br />Title .Telephone Number (glue area node} <br />CITY MANAGER 714-647.5200 <br />Signature o(Auihonzed Representative -Date Signetl <br /> PRAY 3.2W6 <br />PIeYpUS Edilion Usable <br />Authaizetl for Local Reorodtxtbn <br />Standartl Forth 424 (Rev.32003) <br />Presaioetl by OMB Ctrpnar A-102 <br />9 4/20!06 <br />19D-14 <br />