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Applicant Name : INDIAN RIVER COUNTY BOARD OF COUNTY CommISSIONERS DUNS #_079 - 208 - 989 <br /> Project Name : New Horizons S+C Tenant Rental Assistance - Project Priority# ONE <br /> Component Selection <br /> Select the S+C component which describes your project (check only one box) <br /> F TRA ❑ SRA ❑ PRA without Rehab ❑ PRA with Rehab ❑ SRO <br /> Check here if the rent for this project exceeds the published Fair Market Rent : <br /> ❑ 100- 110%1 PHA Letter attached ; ❑ Greater than 110% , HUD Approval Letter attached . <br /> Project Information (please type or print) <br /> Project Name: Project Priority No. <br /> New Horizons S+C Tenant Rental Assistance (from project priority <br /> chart in Exhibit 1 ): <br /> Project Address (street, city, state, & zip): ONE <br /> 184025a` Street, Vero Beach, FL 32960 <br /> Project Sponsor' s Name (for SRA projects) : Proj. Congressional <br /> District(s): <br /> 15,16 <br /> Sponsor' s Address (street, city, state, & zip) (for SRA projects): Project 6-digit <br /> Geographic Code: <br /> 129061 <br /> Authorized Representative of Project Sponsor (name, title, phone number, & fax) <br /> (for SRA projects) :N/A <br /> Participant Count <br /> In each category shown in the chart below, estimate, when the program is fully operational, the number of proposed participants expected to receive <br /> rental assistance at a point in time. Include each participant only once, in either Part f or Part 2. Part 1 should only include persons with <br /> disabilities <br /> who will not have family members living with them The actual subpopulations to be served must be noted below on Form HUD 40076 CoC-3H, <br /> Targeted Subpopulations. Do not double count <br /> Number of Participants <br /> Part 1 : Individual Participants not in Families 11 <br /> Part 2 : Participants in Families <br /> (a) Total Targeted Participants : (in <br /> families) <br /> (b) Number of other Family Members <br /> Living with Participants <br /> Total Participants in Families <br /> Total Persons Served from Parts 1 and 2 11 <br /> Form HUD 40076 CoC -3C page 1 <br />