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Genesee County CDBG-CV Basic Needs Assistance Program Application
Basic Information
1.
Agency Name
2.
Agency Address
Address
Address 2
City/Town
ZIP/Postal Code
3.
Agency DUNS Number
4.
Agency Website or Social Media
5.
Contact Person
Name
Email Address
Phone Number
6.
Amount of Grant Funding Requested (up to $10,000)
