HomeMy WebLinkAboutB19-2791 Peltola NVCF Grant AppGrant Eligibility. Survivors whose home was completely destroyed
. 50% Max, up to 53500. Owners onlv eligible for one grant
. Property owners at the time of the Camp Fire, where dwelling was destroyed
o May rebuild anywhere within the burned communities.
GOTDEN ST FINANCIAL AUTHORIW GSFA}5250,000 - 2 yrs from receipt of Grant funds
crant Eligibility
. Property owners at the time ofthe Camp Fire, where dwelling was destroyed.
. Non-Veterans - 50% Max, up to S35OO, veterans with qualifying DD214 may receive additional funds
o owners only eligible for one grant
o Building permit required to rebuild
o Rebuilding a comparable (or smaller) replacement residence within an unincorporated community of Butte
County substantially affected by the Camp Fire..
E CHECK HERE IF YOU ARE A VETERAN AND WANT TO APPTY FOR GRANT FUNDS wlTH VETERAN STATUS , MUSI
also supply a copy of your DD214 form which states the character of service as "Honorable". Other phrasing which
indicates other types of discharge, i.e. "Under Honorable Conditions" are not qualifying for purposes of the Brant.
Your VA office can assist you in obtaining a copy of a D0214 form-
By signing below, l/we attest under penalty of perjury, that l/we:
Are property owner(s) at the time of the Camp Fire (lL/whose residential dwelling:a
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Residential Dwelling Site Addrt'/./o Assessor's Parcel Number (APN)
Living area square footage of destroyed residential dwelling
was
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substantially damaged, o, -/.o.rletely destroyed by the Camp Fire.
r Acknowled8e eligibility for only one Camp Fire Rebuild lncentive Program grant.
o Are rebuilding a comparable (or smaller) replacement residence within an unincorporated
community of Butte County substontiolly affected by the Comp Fire at:
-
address/APN is same as
above, or list rebuild address:
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Proposed Rebuild Site Address
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Assessor's Parcel Number (APN)
Living area square footage of proposed residential rebuild dwelling
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Page 1 of 2
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2018 Camp Fire Rebuild lncentive Program Application N+)
One of the following grants maY applv to vour re-building permit:
NORTH VAttEY COMMUNITY FOUNDATION (NVCF) S500,0O0 - Thru February 28, 2021
List tEq names of
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any sidence owners at the time of the Camp Fire. Add attached sheet if necessa ry.
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Thank you for helping us determine your eligibility for the 2018 Camp Fire Rebuild lncentive Program. Should
funding still be available; and you are deemed eligible; you will be issued a check for a percentage of permit
fees, up to $3500, unless you are applying as a Veteran with a qualifying DD214 Discharge Status .
R"rh ?e tPr-rL
Residence Owner's Name
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Current Living Address
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Current Mailing Address City State/zip
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Phone Numbers Email
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Pr mary Residence Owner's Signature D^t" '!
Please complete and return the form to: Butte County Development Services
Attn: Fiscal/Admin
7 County Center Drive
Oroville, CA 95965
lf you have questions, please call 552-3700.
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Development Services use only
Permit No:
Application Date:lssued Date:
Residence destroyed within Camp Fire boundary:
Replacement residence within area substantially impacted by Camp Fire: _
Verification of information as provided for eligibility:
Page 2 of 2
lf title is held in trust, or bv another entitv. please disclose full name of entitv:
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