Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

2991

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

OMB: 2502-0542

Document [pdf]
Download: pdf | pdf
U.S. Department of Housing
and Urban Development

Certification of Consistency
with the Consolidated Plan

I certify that the proposed activities/projects in the application are consistent with the jurisdiction’s current, approved Consolidated Plan.
(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:

___________________________________________________________________

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

___________________________________________________________________

Title:

___________________________________________________________________

Signature: ___________________________________________________________________

Date: _____________________________________

Page 1 of 1

form HUD-2991 (3/98)


File Typeapplication/pdf
File Title2991
Subject2991
AuthorRSV
File Modified1999-02-22
File Created1999-02-22

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