Letter Of Interest Checklist Page 3
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6COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH
Adult Justice, Housing, Employment and Education Services
Mental Health Services Act Housing Program
LETTER OF INTEREST
1. LEAD AGENCY CONTACT INFORMATION
Project Sponsor
Project Sponsor's Entity Name
Project Sponsor's Contact Person
Executive Director
Address
City
Zip Code
Telephone
Fax
E-Mail Address
2. COLLABORATIVE PROJECT PARTNERS
Developer
Contact Person
Organization
Telephone
Address
City
Zip Code
E-Mail Address
Property Manager
Contact Person
Organization
Telephone
Address
City
Zip Code
E-Mail Address
Primary Service Provider
Contact Person
Organization
Telephone
Address
City
Zip Code
E-Mail Address
Long Term Owner (if different from Developer or Project Sponsor)
Contact Person
Organization
Telephone
Address
City
Zip Code
E-Mail Address
3. PROJECT NAME & LOCATION
Project Name and Address
Project Name (if any)
Projected Occupancy Date
Address
City
Zip Code
Service Planning Area
Supervisorial District
Unincorporated Area (if applicable)
Attachment I
file:///usr/share/nginx/html/yummydocs/file/letter-of-interest-template-0595820.xls
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Parent category: Letters