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12. COVER with SIGNATURE-Northampton-Housing Choice Capital Grant-WF12.7.2012/7/2020 Housing Choice Capital Grant Program Application | Mass.gov https://www.mass.gov/forms/housing-choice-capital-grant-program-application 1/3 Housing Choice Capital Grant Program Application The Housing Choice Capital Grant Program rewards communities that have produced housing units in the last five years and that have adopted or established Best Practices that encourage housing production. Mass.govMass.gov Menu Search Mass.gov This is the Cover Page for the FY 2021 Housing Choice Capital Grant Application. Please fill it out completely. The signature of the Chief Executive Officer for your community must sign the application. Please print out this page, have signed, scan and upload page.   1. Current Housing Choice Communities * Northampton 2. Application Contact Name (name of the person filling out the application)* Wayne First Name Feiden Last Name 3. Application Contact Mailing Address * 210 Main St. Address Line 1 Planning & Sustainability Address Line 2 Northampton Housing Choice Cover/Signature Sheet Get notified by text, email, or phone in your preferred language. Sign-up for COVID-19 alerts. Dec. 5th, 2020, 5:00 pm For the latest information on COVID-19 Cases, Travel, & Reopening. Dec. 6th, 2020, 5:00 pm E M E R G E N C Y A L E R T S Coronavirus Updates and Information H I D E A L E R T S Read more Read more 12/7/2020 Housing Choice Capital Grant Program Application | Mass.gov https://www.mass.gov/forms/housing-choice-capital-grant-program-application 2/3 City Massachusetts State 01060 ZIP Code 4. Application Contact Email * wfeiden@northamptonma.gov 5. Application Contact Phone * (413) 587-1265 5.a. List any other contact name(s) and provide email or phone (optional) 6. Chief Executive Officer Name * David First Name Narkewicz Last Name 7. Chief Executive Officer Email * Mayor@NorthamptonMA.gov 8. Title of Executive Officer * Mayor 9. Chief Executive Phone (optional) (413) 587-1249 10. Chief Executive Officer Mailing Address (if different from Contact Address) (optional) Address Line 1 Address Line 2 12/7/2020 Housing Choice Capital Grant Program Application | Mass.gov https://www.mass.gov/forms/housing-choice-capital-grant-program-application 3/3 CONTACT Chris Kluchman, FAICP, Deputy Director Community Services Division Address 1oo Cambridge Street, Ste 300, Suite 300, Boston, MA 02114 Directions  (https://maps.google.com/?q=1oo+Cambridge+Street%2C+Ste+300%2C+Suite+300%2C+Boston%2C+MA+02114) Phone 8572889141 617-573-1167 (tel:6175731167) « Previous ← NEXT » City State ZIP Code 11. Chief Executive Officer Signature __________________________________________________________________________ 12. Upload Cover Page with Signature Here * Choose File Remove File No File Chosen File uploads may not work on some mobile devices. Print this completed form, get signature, scan and upload Save and Resume Later (javascript://) Progress