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Acessory Dwelling Units Grant Total Poject Budget
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Date:
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Applicant (Community or Entity Name):
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Applicant Contact:
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Applicant Contact Position/Title:
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Applicant Contact Email Address:
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Applicant Contact Phone:
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ProjectTotal Estimated Project CostState Funds RequestedOther Funding Amount
(Must be at least 25% local match of total project cost)		Other Funding Source
(Municipal, State, Federal, or Private?)		Other Funding Status
(Committed, Pending, or Waiver Requested?)		Other Funding Details
Describe the activities supported by the consultant fees. If estimating, provide information available based on similar or previous work.		Other Funding Notes
Example: if match is contributed by other jurisdictions participating in a multijurisdictional project, please list which jurisdiction and match percentages from each;

If pending, please indicate the date funding will be committed.
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Planning Activities
Example: Pre-approved ADU design plans		$50,000.00$37,500.00$12,500.00 COG general fund (private)
local general funds (municipal) 		committedWork to establish a library of architectural plans that have already been reviewed and approved by the city or county for compliance with local building codes, zoning regulations, and other requirements50% of matching funds provided by Example COG
25% of matching funds provided by Example City
25% of matching funds provided by Example County
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Development Activities
Example: Fee waiver program (use fee worksheet to calculate cost and attach relevant fee schedules)		$275,894.00$206,920.50$68,973.50 local general funds
(municipal) 		pendingFee waiver program100% of matching funds provided by Example Town
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Link to fee worksheet
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Totals$325,894.00$244,420.50$81,473.50
Note: Total estimated project cost must equal state funds requested plus other funds.
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25.00%
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