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08/11/1997 09:58 5~3-2~i7-?R35 HANNA MCELDOWNE" PAGE ~2 <br />~.- `~'' <br />REQ~J~'.,~T FUR APPEAL AND It~LOCA'1'~ON BENEPTTS <br />~°-~oncY: <br />Project: <br />Psrccl 8: <br />~ aPP~I on R~docatiaus ~een~i#s may be filerl by anY disPlacal pessos wl~o beliav~es tkat the <br />,~genty leas' Ro! coraside-e.d properly a person's raqteest for assistanca, or is ~its diaragr~an~ent aMer <br />tl~ ,~go~cy's detere~inatiara as to digibility or anr~unt of puyme,~t (49 C~'R 24.1(6)]• <br />I WI5H 1'O APPEA~, T~iE RSLOCATIbN BTNTsFTI' ~FCAUSE: <br />I underatand th~t to be heard, mY appeal rcquest ~ust be €iled arithin 90 days after (1) R,~c:eiving <br />the Relacation ~ene~t ~wtimary; or (2} The Agency has acted vn a clai.m.; or (3) I have been <br />jud~ed in~ligible to receive a specific bene~it. After the Agency has received this request £o~ <br />appeal, you will receive mare dctailed in~ormation about the ~ppeals process. <br />Applictnt N+4me {E'rint or ty»oj <br />Straot Addtess, Ciry~ Stat9 ar.d 7;fp <br />Applicant Si~ta.~.ture <br />I~ate <br />Hanna~ McEldowney dt Aasaaalas (SQ3) ?.ly7~3$8 <br />