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REQUEST FOR FUNDING/YEAR %VII <br /> URBAN HENNEPIN COUNTY CDBG PROGRAM <br /> THIS SECTION WILL BE COMPLETED BY HENNEPIN COUNTY <br /> National Objectives: <br /> Project Eligibility: _ / <br /> Citation Hennepin County Date <br /> ER Status: / <br /> Status Environmental Review- Specialist Date <br /> Project Number: / <br /> Number Financial Manager Date <br /> ---------------------- ------------ -------------------------- ------------------ <br /> A. GENERAL INFOR.M,ATION <br /> 1. Community: City of St. Anthony <br /> 2. Project Name: Senior Citizens Program <br /> 3. Contact Person: Susan L. VanderHeyden <br /> B. PROJECT DATA <br /> 1. Year XVII Grant Request $ 4,268.00 <br /> 2. Is this request to fund an existing project? Yes X No <br /> 3. Leveraged Funds: Amount $ Source <br /> (To what extent does project leverage additional public or private <br /> funds/firm commitment?) <br /> 4. Location: Address Citywide X <br /> (Attach map.) <br />