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Section IV. Housing (continued ) <br /> HOUSING BENEFIT ( Form HB- 12 . 07) <br /> Name of Owner Name of Occupant Street Address Total Cost Total CDBG Funds Date Rehab Replace <br /> # of <br /> (street, city and zip) of Rehab or Invested Completed (Yes or - ment Bed. <br /> (If replacement, new address) Replacement <br /> No) (Yes or rooms <br /> No) <br /> N / A $ $ <br /> 4 <br />