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O1$ <br />Community Services Block Grant Program <br />Fiscal Year 2012.13 Application for Funding <br />Certification and Assurances <br />Public Hearing on the Initial Plan <br />We herein certify that a public hearing as required by 10A NCAC 97B .0402 Citizen Participation in the <br />Application Process occurred on January 17th, 18th and 19"' 2012 for the initial planning process for the <br />agency's current project plan and the agency has maintained documentation to confirm the process of the <br />public hearing. <br />For multi- county providers, indicate the date and the county the hearing was held. <br />Date <br />County <br />Date <br />Coun <br />1/19/2012 <br />Johnston <br />January 10, 2012 <br />1/17/2012 <br />Lee <br />TanuarylO,2012 <br />1118/2012 <br />Harnett <br />County Commissioners' Review <br />We herein certify that the application for this project period was submitted to the Board of County <br />Commissioners for review and comment on _January 06 2012 as required by 10A NCAC 97C .0111(A). <br />For multi-county providers, indicate the county and date the application for funding was presented to the <br />Board of County Commissioners as required by 10A NCAC 97C.01 11 (B). <br />Date <br />County Date <br />Coun <br />January 10, 2012 <br />Johnston <br />January 10, 2012 <br />Lee <br />TanuarylO,2012 <br />Harnett <br />Board of Directors Approval of the Application <br />I hereby certify that the information contained in the attached application is true and the Board of Directors <br />has reviewed and approved this application for the Community Services Block Grant Program. <br />Date of Board Approval: December 15, 2011 <br />Board Chairperson: <br />Finance Committee Chairperson: <br />(Signature) <br />(Date) <br />(Signature) (Date) <br />Fiscal Year 2012 -13 Community Services Block Grant Application <br />Page 3 of 36 <br />