Resolution 7070 - Laserfiche WebLink

Request for Release of Funds U.S. Department of Housing OMB No.2506-0087 and Urban Development (exp.07/31/2017) and Certification Office of Community Planning and Development This form is to be used by Responsible Entities and Recipients(as defined in 24 CFR 58.2)when requesting the release of funds,and requesting the authority to use such funds,for HUD programs identified by statutes that provide for the assumption of the environmental review responsibility by units of general local government and States. Public reporting burden for this collection of information is estimated to average 36 minutes per response, including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This agency may not conduct or sponsor,and a person is not required to respond to,a collection of information unless that collection displays a valid OMB control number. Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity) gTitle(s) 3. Recipient Identification Number IPublic Housing Grant Funds WA006 (optional) 1.Program 2. HUD/State Identification Number 4.OMB Catalog Number(s) 5. Name and address of responsible entity 114.850 and 14.872 6.For information about this request,contact(name&phone number) City of Everett Washington, Ross Johnson 425-257-7185 2930 Wetmore Avenue, Suite 8A Everett WA 98201 8.HUD or State Agency and office unit to receive request 7.Name and address of recipient(if different than responsible entity) Housing and Urban Development PIH Office Everett Housing Authority P.O. Box 1547, Everett WA 98201 The recipient(s)of assistance under the program(s)listed above requests the release of funds and removal of environmental grant conditions governing the use of the assistance for the following 9. Program Activity(ies)/Project Name(s) 10.Location(Street address, city,county,State) I Baker Heights Neighborhood Disposition ( 1200-1300 blocks of Poplar Street, 1200-1400 blocks of Larch Street, 1200-1300 blocks of Hemlock Street, 1200-1400 blocks of Fir Street, and the 1400 block of Pine Street in Everett,WA 98201 11. Program Activity/Project Description Baker Heights Neighborhood Disposition by the Everett Housing Authority for the purpose of selling the housing units and land in the Baker Heights Neighborhood,located at the 1200-1300 blocks of Poplar Street,1200-1400 blocks of Larch Street,140-1300 blocks 4f Hemlock Street,1200-1400 blocks of Fir Street,and the 140Q.block of Pine Street in Everett,Washington,98201 using Capital Grant Funds,Reserve Funds and Asset Repositioning Funds.The Environmental Fbview is a Determination of Categorical Exclusion(subject to action 58.5)and converts to Exempt,per Section 58.34(ax12)because it does not require any mitigation for compliance with any listed statutes or authorities. Previous editions are obsolete form HUD-7015.15(1/99)