This government document is issued by Department of Community Development & Housing for use in San Bernardino County, CA
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https://www.google.com/url?client=internal-element-cse&cx=017879524313998226491:pkbzzqfx129&q=https://sbcountycdha.com/wp-content/uploads/sites/30/2020/10/2021-2022-CDBG-Application-E-SIGNATURE-AUTHORIZATION.pdf&sa=U&ved=2ahUKEwjxx_7s2L7xAhWStYsKHQdQBIMQFjADegQIAhAB&usg=AOvVaw0QRDXOd90DHYj5UEq1LETa