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<h1 class="app-card_title">Application: 123 Main St.</h1>
</header>
<div class="app-card_nav">
<ol class="progress-nav">
<li class="progress-nav_item active"><a href="#">You</a></li>
<li class="progress-nav_item disabled"><a href="#">Household</a></li>
<li class="progress-nav_item disabled"><a href="#">Preferences</a></li>
<li class="progress-nav_item disabled"><a href="#">Income</a></li>
<li class="progress-nav_item disabled"><a href="#">Review</a></li>
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<form class="app-card form-card">
<div class="app-inner leader border-bottom">
<h2 class="app-card_question">Take a moment to review your information before submitting your application.</h2>
</div>
<header class="app-sub-header border-top">
<h3 class="app-sub-header_title">You</h3>
<a class="info-item_link edit-link hide-for-print" href="#">Edit</a>
</header>
<div class="app-inner">
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Name</h4>
<p class="info-item_name">Laura Smith</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Date of Birth</h4>
<p class="info-item_name">12/02/1980</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Phone</h4>
<p class="info-item_name">415-123-1234</p>
<span class="info-item_note">Cell</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Additional Phone</h4>
<p class="info-item_name">415-123-1234</p>
<span class="info-item_note">Home</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Email</h4>
<p class="info-item_name">lara.smith@gmail.com</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Address</h4>
<p class="info-item_name">649 Avalon St <br> San Francisco, CA 94117</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Mailing Address</h4>
<p class="info-item_name">456 Mission St <br> San Francisco, CA 94117</p>
</div>
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<h3 class="app-sub-header_title">Alternate Contact</h3>
<a class="info-item_link edit-link hide-for-print" href="#">Edit</a>
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<div class="app-inner">
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Name</h4>
<p class="info-item_name">Michael Smith</p>
<span class="info-item_note">Counselor</span>
<span class="info-item_note t-bold">MEDA</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Email</h4>
<p class="info-item_name">michael.smith@gmail.com</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Phone</h4>
<p class="info-item_name">415-876-5432</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Mailing Address</h4>
<p class="info-item_name">456 Mission St <br> San Francisco, CA 94117</p>
</div>
</div>
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<h3 class="app-sub-header_title">Household Members</h3>
<a class="info-item_link edit-link hide-for-print" href="#">Edit</a>
</header>
<div class="app-inner">
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Name</h4>
<p class="info-item_name">Michael Smith</p>
<span class="info-item_note">Child</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Date of Birth</h4>
<p class="info-item_name">12/2/1980</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom"></h4>
<p class="info-item_name"></p>
</div>
<div class="border-top info-item_divider"></div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Name</h4>
<p class="info-item_name">Michael Johnson</p>
<span class="info-item_note">Family Member</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Date of Birth</h4>
<p class="info-item_name">12/2/1970</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Address</h4>
<p class="info-item_name">700 Avalon St <br> San Francisco, CA 94117</p>
</div>
</div>
<header class="app-sub-header border-top">
<h3 class="app-sub-header_title">Household Details</h3>
<a class="info-item_link edit-link hide-for-print" href="#">Edit</a>
</header>
<div class="app-inner">
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Rent at 2106 Park Blvd</h4>
<p class="info-item_name">$1200 per month</p>
<span class="info-item_note">for Michael Smith</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Rent at 4106 Terrace St</h4>
<p class="info-item_name">$1200 per month</p>
<span class="info-item_note">for Jane Smith and Denise Jones</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Seniors in Household</h4>
<p class="info-item_name">Yes</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Veterans in Household</h4>
<p class="info-item_name">Yes</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">People with Developmental Disabilities</h4>
<p class="info-item_name">Yes</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">ADA Accessible Units</h4>
<p class="info-item_name">Mobility Impairments<br> Visual Impairments</p>
</div>
</div>
<header class="app-sub-header border-top">
<h3 class="app-sub-header_title">Income</h3>
<a class="info-item_link edit-link hide-for-print" href="#">Edit</a>
</header>
<div class="app-inner">
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Vouchers and Subsidies</h4>
<p class="info-item_name">Yes</p>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">Household Income</h4>
<p class="info-item_name">$32,000 per year</p>
</div>
</div>
<header class="app-sub-header border-top">
<h3 class="app-sub-header_title">Preferences</h3>
<a class="info-item_link edit-link hide-for-print" href="#">Edit</a>
</header>
<div class="app-inner">
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">You Have Claimed</h4>
<p class="info-item_name">Certificate of Preference</p>
<span class="info-item_note">for Michael Smith</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">You Have Claimed</h4>
<p class="info-item_name">Neighborhood Resident Housing Preference</p>
<span class="info-item_note">for Michael Smith</span>
<span class="info-item_note t-bold">Telephone Bill attached</span>
</div>
<div class="info-item margin-bottom">
<h4 class="info-item_value margin-bottom">You Have Claimed</h4>
<p class="info-item_name">Rent Burden Preference</p>
<span class="info-item_note">for 2106 Park Blvd</span>
<span class="info-item_note t-bold">Copy of Lease and Cancelled Check attached</span>
<span class="info-item_note">for 4106 Terrace St</span>
<span class="info-item_note t-bold">Copy of Lease and Money order attached</span>
</div>
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<p class="c-iron">The San Francisco Housing Portal is a project of the <br> <a href="#" class="a-white">Mayor's Office of Housing and Community Development</a></p>
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{
"page-class": "center-body",
"sections": [
{
"header": "You",
"info-items": [
{
"name": "Name",
"value": "Laura Smith"
},
{
"name": "Date of Birth",
"value": "12/02/1980"
},
{
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},
{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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},
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{
"header": "Income",
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]
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{
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{
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},
{
"name": "People with Developmental Disabilities",
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]
}
]
}
There are no notes for this item.