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The original item was published from 8/31/2020 6:55:22 PM to 10/2/2020 12:00:07 AM.

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Posted on: August 31, 2020

[ARCHIVED] Public Information CDBG Grant Application

2020 Urgent Repair Program

Request for Assistance

Moore County Planning & Transportation Department


Pre-Application due to Planning & Transportation Department by 4:30pm on Wednesday, Sept. 30, 2020


Homeowner Name:  ___________________________________________________________________

Physical Address of Home: ______________________________________________________________

Mailing Address: ______________________________________________________________________

Point of Contact (If different than homeowner): _______________________________________________

Telephone Number(s): __________________________________________________________________

Monthly Income (Social Security, SSI, Pension, Wages from Job, etc.) =_____________________


First and last names of persons living in home

(including homeowner)




Date of Birth

Disability - including physical or mental but not related to substance abuse (Yes/No)




Military Veteran


Child with elevated blood lead levels living in the home? (Yes/No)






Received prior housing rehab assistance from Moore County? (Yes/No)


























































Mail completed form to:                Carlis P. Sweat

                                                      Moore County Planning & Transportation Department         

                                                      PO Box 905

                                                      Carthage, NC 28327


Information provided above will be used to rate and rank applicants based on the Priority system outlined within the programs Assistance Policy.  Failure to complete all areas may cause the inability to be ranked.

All program information is kept confidential.  Please call Moore County Planning & Transportation Department with questions at 910-947-5010.

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