Form Hud-2991 - Certification Of Consistency With The Consolidated Plan - U.s. Department Of Housing And Urban Development

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OMB Approval No. 2506-0112 (Exp. 3/31/2010)
U.S. Department of Housing
Certification of Consistency
and Urban Development
with the Consolidated Plan
I certify that the proposed activities/projects in the application are consistent with the jurisdiction’s current, approved Consolidated Plan.
(Type or clearly print the following information:)
Applicant Name: ___________________________________________________________________
Project Name: ___________________________________________________________________
Location of the Project: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Name of the Federal
Program to which the
applicant is applying: ___________________________________________________________________
Name of
Certifying Jurisdiction: ___________________________________________________________________
Certifying Official
of the Jurisdiction
Name: ___________________________________________________________________
Title: ___________________________________________________________________
Signature: ___________________________________________________________________
Date: _____________________________________
Page 1 of 1
form HUD-2991 (3/98)

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