| OCR Text |
Show iTTiVUiWiif I rninrinn Salt Lake Model Cities Emergency Home Repair Project MAIL TO: SALT LAKE CITY-COUNT- HEALTH DEPARTMENT Y ENVIRONMENTAL HEALTH SERVICES 1179 Glendale Drive Phone 359-1432 APPLICATION tor DOES YOUR HOME HEED REPAIRS? Emergency Home Repair Funds Sign up now for a Grant! The Salt Lake Model Cities - Property Address Name and Address of Owner EMERGENCY HOME REPAIR PROJECT FOR ASSISTANCE IN MAKING EMERGENCY REPAIRS FOR HOME OWNERS AND RENTERS IN THE MODEL CITIES' Name of Ormpant Telephone Number Date Family Makeup and Ages AREA Source and Amount of Family IncomeMonth APPLICATIONS FOR GRANTS (which do not need to be repaid) AND LOANS TO PAY FOR EMERGENCY HOME REPAIRS NOW ACCEPTING & UtilitiesMonth $ Amount of House Pymt. or Rent Month $ Type of Repairs MpqHpH FILL OUT THE APPLICATION FORM AND GIVE IT TO YOUR BLOCK LEADER OR YOUR NEIGHBORHOOD COUNCIL REPRESENTATIVE. CALL THEM IF YOU HAVE ANY QUESTIONS. Desire Grant OR APPLY AT ASSIST, INC., 218 E. Fifth South, ENVIRONMENTAL HEALTH SERVICES, 1179 Glendale Drive, Call Approximate Cost for Repair 359-143- 2 or 355-708- 5 for applications or information. Get Involved- Attend Your Task Force Meeting Desire Both Grant & Loan Desire Loan (Do not write below this line) oooooooooooooooooooooooooooooooo HOUSING INSPECTION REPORT Recommendations Got a question about housing? By Hate Advisory Committee Action Signature of Chairman Any Date question at all, call 467-941- 6 r mwpp mm |
