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Housing Crisis Act of 2019 (SB 330) Preliminary Application Form (Revised April 9, 2020) Page 7 of 8 <br />Property Owner of Record Same as applicant Different from applicant <br />Name (if different from applicant) <br />Address _________________________________________Unit/Space Number <br />City ___________________________ State _______ Zip Code <br />Telephone ___________________________ Email <br />Optional: Agent/Representative Name <br />Company/Firm <br />Address _________________________________________Unit/Space Number <br />City ___________________________ State _______ Zip Code <br />Telephone ___________________________ Email <br />Optional: Other (Specify Architect, Engineer, CEQA Consultant, etc.) <br />Name <br />Company/Firm <br />Address _________________________________________Unit/Space Number <br />City ___________________________ State _______ Zip Code <br />Telephone ___________________________ Email <br />Primary Contact for Project: Owner Applicant Agent/Representative Other