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r FEB 16 1933 <br />:ate raf <br />Page' 4 of 10 <br />STATE OF FLORIDA } <br />c POSTMARK DATE <br />DEPARTMENT OF COMMUNITY AFFAIRS N GRANT NUMBER <br />DIVISION OF LOCAL RESOURCE MANAGEMENT a ALLOCATION. AMOUNT $ <br />o DATE APPROVED <br />BLOCK GRANT ASSISTANCE.SECTIORt -GRANT PERIOD r0_ <br />COMMUNITY -SERVICES BLOCK GRANT APPLICATION <br />INSTRUCTIONS: Please comnlerp aii ..m..,.. :.. «L:_ <br />o- ---- . �i-- -I - -rr .. w rvu1 <br />organization, If <br />y part does not apply, write N/A <br />1. GENERAL ADMINISTRATIVE INFORMATION . <br />a. Are you applying a$: /X Local Government /_7 Eligible Entity <br />(Check ONE box only') /% Migrant or Seasonal Farmworker Organization <br />b. Name of Applicant: Indian River County <br />c. Applicant's Address: 1840 25th Street X <br />County: Indian River _ City: Vero Beach Zip Code: 32960 <br />d, Applicant's Mailing Address (if different from above): <br />Atten.t4on : Indian River County Housing Authority _ Zip Code: <br />Suir_pe S-321 <br />e. Contact Person: Edward J. Regan Title: Executive `Director <br />f. Telephone Number: 305-567-8000; Extension 322 <br />g. 'Chief Official or Executive Director's Name: Edward J . Reizan <br />h. Applicant Tax Exempt Number: 03 0001705 41 <br />11• SUBGRANTEE INFORMATION <br />a. Will these funds be transferred to.a-subgrantee? Yes 1-7 No <br />b. If'Yes, list the subgrantees in alphabetical order: <br />Indian Ri. er County Housing Authority' <br />., ._-.... , . -.­--- <br />