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Show Salt Lake Model Cities Emergency Home Repair Project MAIL TO: HEALTH DEPARTMENT SALT LAKE ENVIRONMENTAL HEALTH SERVICES 1179 Glendale Drive Phone CITY-COUNT- 359-143- Y 2 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 Name of Or.nipant OatP Telephone Number REPAIRS FOR HOME OWNERS AND RENTERS IN THE MODEL CITIES' Family Makeup and Ages ... AREA Source and Amount of Family IncomeMonth NOW ACCEPTING APPLICATIONS FOR GRANTS Amount of House Pymt. or Rent Month & UtilitiesMonth $ & (which do not need to be repaid) AND LOANS TO PAY FOR EMERGENCY HOME REPAIRS FILL OUT THE APPLICATION FORM AND GIVE IT TO YOUR BLOCK LEADER OR YOUR NEIGHBORHOOD COUNCIL REPRESENTATIVE. CALL THEM IF YOU HAVE ANY QUESTIONS. Approximate Cost for Repair Desire Grant OR APPLY AT ASSIST, INC., 218 E. Fifth South, ENVIRONMENTAL HEALTH SERVICES, 1179 Glendale Drive, Call Type of Repairs NeerieH 359-143- 2 Get or 355-708- 5 for applications or information. Involved-Atten- (Do not write beiow this line) OOGGOOOOOOOOOOOOOGOGOGO0OGOOOOOO HOUSING INSPECTION REPORT d Your Task Force Meeting Got Desire Both Grant & Loan Desire Loan Recommendations a question about housing? By Date Advisory Committee Action Signature of Chairman Any question at all, call 4679416 Date |