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Murray City CDBG Hard Cost Application Statement of Intent to Apply for 2011-2012 Funding DUE: FRIDAY, DECEMBER 3, 2010 AT 1:00 PM Name of Organization: Contact Person: Phone Number: Email Address: Mailing Address: Program Name: Estimated Funding Request: Description: (Include individual activities, if applicable) Murray City CDBG Letter of Intent 2011/2012 1/2 ---PAGE BREAK--- Please answer the following: Will the project be concluded before June 30, 2012? Will the proposed project primarily benefit residents of the City’s low-to-moderate income areas? Does the project meet the national objective of: Removal or elimination of slums and blight? Benefit to low and moderate income persons? Are you applying as a: Neighborhood-Based Non-Profit Organization Section 301(d) Small Business Investment Company Local Development Corporation Does your proposed project involve any of the following: Purchase of equipment, furnishings, motor vehicles, or other personal property which are not an “integral structural fixture”? Operating and maintenance expenses or office space charges? Payment of salaries for staff or utility costs? New housing construction? Relocation of residential or business tenants, even on a temporary basis? *The Statement of Intent can be submitted electronically to Angela Price at [EMAIL REDACTED] or a hard copy can be submitted to the Community and Economic Development Department at 4646 South 500 West Murray, UT 84123. The Statement of Intent must be submitted by Friday, December 3, 2010 at 1:00 PM in order to be considered for 2011- 2012 funding. Murray City CDBG Letter of Intent 2011/2012 2/2