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D APPROVED CG-4170A HERETO. CG-4170A N/A FOR SINGLE MEMBERS. DATE SUBMITTED APPLICANT'S SIGNATURE PREVIOUS EDITION IS OBSOLETE PAGE 2 OF CG-5267 (01-09) SECTION B - HOUSING AUTHORITY ACTION 1. APPLICATION EFFECTIVE DATE 2. DATE APPLICATION RECEIVED 3. DATE DD-1747 SENT TO APPLICANT 4. WAITING LIST PLACED ON 5. EFFECTIVE DATE 6. APPLICANT NOT PLACED ON WAITING LIST (Reason) 7. APPLICANT ASSIGNED TO (Housing unit ) 8. DATE OF ASSIGNMENT 9. BAH TERMINATION EMAIL COMPLETED ON (Date) IN.

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