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OMB Approval No. 2506-0112 (Exp. 7/31/2012)

Certification of Consistenc with the Consolidated Plan

U.S. Department of Housing and Urban Development

I certify that the proposed activities/projects in the application are consistent with the jurisdiction's current, approved Con (Type or clearly print the following information:) Applicant Name: Project Name: Location of the Project: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Name of the Federal Program to which the applicant is applying:

solidated Plan.

___________________________________________________________________

Name of Certifying Jurisdiction: Certifying Official of the Jurisdiction Name:

___________________________________________________________________

___________________________________________________________________

Title:

___________________________________________________________________

Signature: ___________________________________________________________________ Date: _____________________________________

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form HUD-2991 (3/98)

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