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Orange County Owner Occupied Rehabilitation
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1.
Name (First and Last)
(Required.)
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2.
Address
(Required.)
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3.
Household size (include all household members)
(Required.)
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4.
Repairs needed
(Required.)
Roof replacement
HVAC replacement
Water heater replacement
Lighting and electrical
ADA Accessibility
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5.
What repair work that can be done through the grant (roof, HVAC, water heater replacement, lighting and electrical or ADA Accessibility) is the priority for your home?
(Required.)
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6.
What hardships have you faced that have prevented you from making these repairs?
(Required.)