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4. Private Consultant ( If Applicable) <br /> Name of Consultant: <br /> Firm : <br /> Address: <br /> City, State, Zip Code: <br /> Area Code/Telephone No : Area Code/Fax Number <br /> E-Mail Address : <br /> Administrative Data <br /> 1 . Local Government FID Number: 59-6000674 <br /> 2 . Districts: United States Congress <br /> 15 <br /> Florida Senate Florida House <br /> 26 & 28 29 & 80 <br /> 3. If the local government is not receiving Electronic Funds Transfer ( EFT) from the State of Florida , <br /> please provide an address for transmittal of the reimbursement warrant: <br /> Local Government: <br /> Street Address: <br /> City, State, Zip: <br /> 4 . Please provide a brief Project Description : <br /> 2007 Hurricane Wilma Disaster Recovery Initiative <br /> Repairs of existing homes that include but are not limited to repair or replace roofs to meet the current Florida <br /> Building codes, repair or replacement of windows and entry doors , install hurricane shutters to protect <br /> vulnerable openings. <br /> FACommunity Development\UsersICDBG2007 CDBG DR - Wilma WpplicationAgreementlContractlnformationSheet.doc <br />