Organizational Head Initials __________
Organizational Head Initials __________ v1 P a g e | 1 Office of Disaster Recovery Community Development Block Grant – Disaster Recovery (CDBG-DR) Program CDBG-DR Local Match for Federal Disaster Application Form Agency Name: PW Number: Obligated Date: Application Date: Disaster Recovery Office Community Development Block Grant –Local Match Program Beltjen II 31 ab Estate Taarnebjerg St. Thomas, VI 00802 Phone (340) 202-1221 Version 1 September 6, 2024 Organizational Head Initials __________ v1 P a g e | 2 GENERAL DESCRIPTION FORM INSTRUCTIONS Mark the appropriate box at the top of the form to indicate whether this is the original application or an amended application. An amended application must be submitted each time there is a change to the project. Please enter the amendment number that corresponds to each change. (ex: First change to the original application would be Amended Application #1) 1. …
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