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                    <h1 class="app-card_title">Application: 123 Main St.</h1>
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                        <li class="progress-nav_item active"><a href="#">You</a></li>
                        <li class="progress-nav_item disabled"><a href="#">Household</a></li>
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        {{> @alert-box classes="invert"}}

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            <p class="form-note margin-bottom">Ideally this is an address where we can send updates about your application.</p>
            <div class="form-address row expand">
              <div class="form-group-street form-item large-12 columns error">
                  <label for="address" class="sr-only">Address</label>
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                  <small class="error">Please enter a street address</small>
              </div>

              <div class="form-group-apt form-item large-12 columns">
                <label for="address2" class="sr-only">Address 2</label>
                <input type="text" name="address2" placeholder="Apt or Unit #" class=""/>
              </div>

              <div class="form-group-city form-item small-7 columns error">
                <label for="city" class="sr-only">City</label>
                <input type="text" name="city" placeholder="City Name" class="error"/>
                <small class="error">Please enter a street address</small>
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                <label for="zip" class="sr-only">Zip</label>
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              </div>
            </div>

            <div class="form-item padding-bottom">
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{
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  "sections": [
    {
      "header": "You",
      "info-items": [
        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
          "value": "12/02/1980"
        },
        {
          "name": "Phone",
          "value": "415-123-1234",
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        {
          "name": "Additional Phone",
          "value": "415-123-1234",
          "note": "Home"
        },
        {
          "name": "Email",
          "value": "lara.smith@gmail.com"
        },
        {
          "name": "Address",
          "value": "649 Avalon St <br> San Francisco, CA 94117"
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        {
          "name": "Mailing Address",
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    {
      "header": "Alternate Contact",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Counselor",
          "secondary": "MEDA"
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        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
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    {
      "header": "Household Members",
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        {
          "name": "Name",
          "value": "Michael Smith",
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        {
          "name": "Date of Birth",
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        {
          "divider": true
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        {
          "name": "Name",
          "value": "Michael Johnson",
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        {
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          "name": "Address",
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    {
      "header": "Household Details",
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        {
          "name": "Rent at 2106 Park Blvd",
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          "note": "for Michael Smith"
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          "value": "$1200 per month",
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        {
          "name": "Veterans in Household",
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          "name": "People with Developmental Disabilities",
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          "secondary": "Telephone Bill attached"
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        {
          "name": "You Have Claimed",
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          "note": "for 2106 Park Blvd",
          "secondary": "Copy of Lease and Cancelled Check attached",
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          "secondary-2": "Copy of Lease and Money order attached"
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      "header": "You",
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          "name": "Name",
          "value": "Laura Smith"
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        {
          "name": "Date of Birth",
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    {
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          "name": "Vouchers and Subsidies",
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      "header": "You",
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        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
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        {
          "name": "Phone",
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        {
          "name": "Additional Phone",
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        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Alternate Contact",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Counselor",
          "secondary": "MEDA"
        },
        {
          "name": "Email",
          "value": "michael.smith@gmail.com"
        },
        {
          "name": "Phone",
          "value": "415-876-5432"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Members",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Child"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1980"
        },
        {
          "divider": true
        },
        {
          "name": "Name",
          "value": "Michael Johnson",
          "note": "Family Member"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1970"
        },
        {
          "name": "Address",
          "value": "700 Avalon St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Details",
      "info-items": [
        {
          "name": "Seniors in Household",
          "value": "Yes"
        },
        {
          "name": "Veterans in Household",
          "value": "Yes"
        },
        {
          "name": "People with Developmental Disabilities",
          "value": "Yes"
        }
      ]
    }
  ]
}

There are no notes for this item.