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Request for Release of Funds <br />and Certification <br />U.S. Department of Housing <br />and Urban Development <br />Office of Community Planning <br />and Development <br />OMB No. 2506-0087 <br />(exp. 04/30/2027) <br />This form is to be used by Responsible Entities and Recipients (as defined in 24 CFR 58.2) when requesting the release of fun ds, and <br />requesting the authority to use such funds, for HUD programs identified by statutes that provide for the assumption of the en vironmental <br />review responsibility by units of general local government and States. Public reporting burden forthis collection of information is estimated <br />to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and <br />maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and <br />a person is not required to respond to, a collection of information unless that collection displays a valid OMB control numbe r. <br />Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity) <br />1. Program Title(s) <br />Community Development Block Grant (CDBG) Funding <br />2. HUD/Stateldentification Number <br />WA006 <br />3. Recipient Identification Number <br />(optional) <br />LVPSLN4A2LF6 <br />4. OMB Catalog Number(s) <br />14.218 <br />6. For information about this request, contact (name & phone number) <br />Vicki Dorway, 425-257-7185, vdorway@everettwa.gov <br />5. Name and address of responsible entity <br />City of Everett, Community Development <br />2930 Wetmore Ave, Ste 8A <br />Everett, WA 98201 <br />. HUD or State Agency and office unit to receive request <br />Seattle HUD CPD Office <br />909 1st Avenue, Ste 310 <br />Seattle, WA 98104 <br />7. Name and address of recipient (if different than responsible entity) <br />NA <br />The recipient(s) of assistance under the program(s) listed above requests the release of funds and removal of environmental <br />grant conditions governing the use of the assistance for the following <br />9. Program Activity(ies)/Project Name(s) <br />Walter Hall Park Community Connections Path <br />10. Location (Street address, city, county, State) <br />1226 W Casino Rd, Everett, WA 98204 <br />11. Program Activity/Project Description <br />City -owned parcels adjacent Walter Hall Park have been identified to receive a section of multi -use <br />path connecting the park to 90th St SW. The project includes the potential future installation of <br />approximately 1860 Linear Feet of asphalt path. This proposed path will improve non -vehicular access <br />to the park by constructing a 6 feet to 10 feet wide path connection between the park and adjoining <br />neighborhoods to the south and east. <br />Previous editions are obsolete form HUD-7015.15 (1/99) <br />