Letter Of Interest Checklist Page 5
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6COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH
Adult Justice, Housing, Employment and Education Services
TOTAL PROJECT COST
Mental Health Services Act Housing Program
LETTER OF INTEREST
8. SOURCES OF FUNDS
Committed
Pending Funding?
Predevelopment
Construction
Funding?
Sources
Permanent Amount
Please indicate date you
Amount
Amount
You have been awarded
applied/will apply.
funding.
Total
$
-
$
-
$
-
9. USES OF FUNDS
Committed
Pending Funding?
Funding?
Fund Uses
Amounts
Please indicate
You have been awarded
date you applied/will apply
funding
Acquisition Costs
Construction (Rehabilitation) Costs
Soft Costs
Financing Costs
Total
$
-
10. SUPPORTIVE SERVICES
List Type of Proposed Services by
List Funding Source by Type
Committed
Location
Pending Funding?
Funding?
Estimated Service Cost
Please indicate
You have been awarded
date you applied/will apply
funding
Offsite
Onsite
In-Kind
Cash
11. NARRATIVE QUESTIONS
Please attach a maximum of 10 pages to respond to the following 13 questions:
1. Provide a brief project description, including the specific roles and responsibilities of each Collaborative Project Partner. Indicate whether the
project will be new construction, an acquisition/rehabilitation, or acquisition only. Indicate the projected construction start date, construction end
date and the projected occupancy date.
Attachment I
file:///usr/share/nginx/html/yummydocs/file/letter-of-interest-template-0595820.xls
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Parent category: Letters