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4V.1ni: 40' nWGiO):F9at(0)31:4 A AA4 iy*iOTili �Loi� •.M .l 11� � . _ . <br />Part Co Point in Time Dousing and Participants Chart <br />(All Projects Except Dedicated IMS Projects) <br />1. Housing Type` <br />Ia. ® Multi -family <br />® Scattered Site <br />(Check all that apply) <br />ElSingle-familylb. <br />Based <br />Chronic Substance Abusers <br />[EDCon a ate FacilityProject <br />Veterans <br />a. Current <br />b. New Effort or <br />c. Projected <br />2, Units, Bedrooms, Beds <br />Level <br />Change in Effort <br />Level <br />(Point -in -Time) <br />Applicable) <br />(column a+col. b <br />Number of Units <br />19 <br />Number of Bedrooms <br />19 <br />Number of Beds <br />19 <br />3. Participants <br />a. Number of Families with <br />Children (Family Households <br />i. Number of adults in families <br />ii. Number of children in families <br />iii. Number of disabled in families <br />b. Number of Single Individuals and <br />19 <br />Other Households w/o children <br />i. Number of disabled individuals <br />1 19 <br />Number of chronically homeless <br />117 <br />.ii. <br />*Housing Types: Multi -family (apartments, duplexes, SROs other buildings with 2 or more units); Single-family; <br />Congregate Facility (dormitory, barracks, shared -living). <br />Part D: Targeted Subpopulations <br />(All Projects Except Dedicated FMS Projects) <br />List the approximate percentages for each homeless subpopulation you expect to serve. If you expect to <br />serve subpopulations that fit more then one category (i.e. Severely Mentally Ill Persons with Chronic <br />Substance Abuse), you may place overlapping approximate percentages on the appropriate lines. If this <br />is a # 1 priority project, it must serve 100% chronically homeless persons to receive the PH bonus. <br />1. Homeless Subpopulations <br />2. Approximate Percentages <br />Chronical) Homeless as defined by HUD <br />80 <br />Severely Mentally 111 <br />100 <br />Chronic Substance Abusers <br />Veterans <br />Persons with HIV/AIDS <br />Victims of Domestic Violence <br />Unaccompanied Youth <br />oder 18 years of !Le <br />Part E: <br />State & Local Government <br />Are there policies and protocols developed or implemented for the discharge <br />persons from publicly funded institutions or systems of care (e.g., health care <br />1. ® Yes ❑ No facilities, foster care or other youth facilities, or corrections programs and <br />institutions) in order to prevent such discharge from immediately resulting in <br />homelessness or requiring homeless assistance for such persons in your <br />FL -509 Ft. Pierce/St. Lucie. Indian River. Martin Counties CoC APPLICANT DUNS 079-208-989 <br />