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19B
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2016
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041916
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19B
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Last modified
11/30/2016 1:53:29 PM
Creation date
4/14/2016 9:01:07 AM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
4/19/2016
DESTRUCT DATE
15Y
DOCUMENT NO
19
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OMB Number: 4040 -0004 <br />Expiration Date: 8/31/2016 <br />Application for Federal Assistance SF-424 <br />* 1. Type of Submission: <br />❑ Preapplication <br />® Application <br />❑ Changed /Corrected Application <br />* 2. Type of Application: ' If Revision, select appropriate letter(s): <br />® New <br />❑ Continuation ' Other (Specify): <br />❑ Revision <br />* 3. Date Received: 4. Applicant Identifier: <br />CA62826 PLEASANTON CITY <br />5a. Federal Entity Identifier: <br />5b. Federal Award Identifier: <br />B16MC060050 <br />State Use Only: <br />6. Date Received by State: E== <br />7. State Application Identifier: <br />8. APPLICANT INFORMATION: <br />*a. Legal Name: CA62826 PLEASANTON CITY <br />• b. Employer/Taxpayer Identification Number (EIN/TIN): <br />* c. Organizational DUNS: <br />0049397240000 <br />94- 6000397 <br />d. Address: <br />• Street1: 123 Main Street <br />Street2: P.O. Box 520 <br />*City Pleasanton <br />County /Parish: Alameda <br />`State: <br />CA: California <br />Province: <br />*Country: <br />USA: UNITED STATES <br />• Zip / Postal Code: 94566 -0802 <br />e. Organizational Unit: <br />Department Name: <br />Division Name: <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Prefix: * First Name: <br />Middle Name: <br />lFrances <br />* Last Name: Reisner <br />Suffix: <br />Title: <br />Housing Specialist <br />Organizational Affiliation: <br />City of Pleasanton <br />• Telephone Number: 925- 931 -5007 <br />Fax Number. <br />*Email: freisner @cityofpleasantonca.gov <br />
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