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Full Circle Management Fifteenth Street Apartments Copyrighted November4, 2019 City of Dubuque Consent Items # 6. ITEM TITLE: Full Circle Management Fifteenth StreetApartments SUMMARY: City Manager providing a copy of Full Circle Managemenfs tenant application, survey and property information for the Fifteenth StreetApartments. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File ATTACHMENTS: Description Type Fifteenth StreetApartments Supporting Documentation Fifteenth Street A artr�ents . ^ � p a fiull circle communitv �:� { __ ---_-- -____ ___— _ � , _ .. __ �,. . - r �� .�', r ,� � ,� - - , ., . � i � i, � �, . . - . ,� .. , _ � � . ,.. �� " . � . ��, .� � � �� LIVING ,'yM' � , � 1, BEOROOM ROOM . . �„ 1 � �� s�.r x�r-s� �o�-e�x xa��o� • - • � 1'. :1 1 T '� �,'� � �,. �.. � � � � � j `� � '�:.�; .' . . -�� :� �� — � y� . � - �- . .�•, � �� •� � � � C � u`. . .� " � CLOSET .� � �.r �� r' �� M1r+ ,�,�.�.�n �.� �� • � �� `� � i' :r,. �'�'�`!i^4. ... ._.. ' � _. . ....___ _.".�_... ..�� ... —J � `— STORAGE I HVAC I ' i BUILDING AMENITIES - � .. �� • Professional On-Site Management ;� � . • - • , �LAUI�DRY LINEN � I biaucc �r �;y ca • Free Internet :� :�• 1� i ' , �� .,� _ , � ., ,,,,. • Community Room � — Y I � Library/Computer Room � � • , ,. gqTHROOM KITCNEN ,I - • . h'.:f'X 9'-U' HALL 8'-5'z 11'-11 c�oee� .u� cx Free Storage . _ s _ i I I� • Video Security System . ' ,� �oAT � - - PANTRY • On-site Resident Services from • - •. •- � • - • • � � Local Service Providers UNIT TYPE 02-TYPE C „„„_. �os sF ,6t�Sticee� `0io�, �,r�_h�,��,� , 1'i/r M p ',,v...er V'�eS� O �i . _ � � •�� m • � ,�..„, � �^ � 1 S��CE� � �i �os�, .�t�Ch � : a ° �. � .� I �. V�1es� _ . �-� -. - � 180 W.15th St. .,, ,.,,,, t 5<<Qe� G�,� �esc��'�� . � � � �� at� ' . UNIi TYVt OS iYFlL C MAHNEIIN(. _. .. �.i., �ot a5 go��e� -- � •. • - • � ,� � � � � � .f�,. �, � � � �,.:� �>a..� . �`� �1C� C� C� C� � �1 � �1 �` � Dear Applicant, Thank you for your interest in Fifteenth Street Apartments. Full Circle Management makes every effort to ensure we provide you with exceptional service thraugh our Management and Maintenance team, We are currentiy accepting appiications! In order to determine your eligibility for housing, please complete the Preliminary Questionnaire in its entirety and return it BY MAIL ONLY to: Fifteenth Street Apartments %The Arbor At Lindale Trail 1362 8lairsferry Rd Marion, IA 52302 If a question does nat apply to your situation, please answer N/A, so that we know you didn't overlook it. Please note you must list the total of all income to be considered. All current information must be provided so we can accurately evaluate your e(igibility which may affect your placement on our waiting list. If you have questions an how to cornplete this questionnaire you may cantact the local Property Manager at 319-45Q-7714 or Full Circle Managemen# at 847-849-5300. Thank you again for your Interest in Fifteenth Street Apartments! Sincerely, Full Circfe Management In every family unit and every rooming unit, every roorn occupied far sleeping purposes by one occupant shall contain at least 70 square feet of floor area,or if of original configuration need only comply with the regulations in effect at the time of its construction. Every room occupied for sleeping purposes by mare than one octupant shall contain at least 50 square feet of floor area far each occupant 12 years of age and over and at least 35 square feet of floor area for each occupant under 12 years of age.For the purpose of this section a person under two years of age shall not be counted as an occupant. Based on this occupancy standard and the information you provided in your Preliminary Application,you will be placed on all open waiting lists for which your household appears eligible. Please note that if the household is Ilsted on more than cne waiting list,the household's refusal of a unit from one list will not affect the household status on any other wait lists the household may turrentiy be listed on. 1 F�L�.C!l�CLE ! mar�ag�m�nt `�. FIFTEENTH STREET APARTMENTS PRELIMINARY APPLiCATiON Fifteenth Street Apartments is a housing opportunity for appiicants who meet the income requirements. To be eligible far housing, applicants MUST have an income that does not exceed 60% of the AMl. Bedroom size and preferences are assigned based upon our Tenant Selection Plan. Fifteenth Street Apartments will also offer Market Rate Apartments. Fifteenth Street Apartments is a Smoke-Free Community. if you have any questions, need assistance completing this form, or require another form of reasanable accommadation, piease call 847- 849-5301 or TTY 711. If you are disabled or have difficulty understanding English, please request our assistance and we will ensure that you are provided with meaningful access based on your individual needs. First Name:��_____ _ __ Middle Initial Last Name: Mailing Address: City: �State:_ Zip; �Phone Number� Secondary Phone Number: Email: 1.List all :;ersans who intend ta occu}r the unit for which ou are a� �I in�: ame Sex � ate of ; elations +p to N u! ime � girth ; Household Head Student(YJN) i � HEAD � I �`_ i �� f F _..._. _�..,�_,rz,m�_.�._.__.._,._�..��F ' � ---�-----_-�,. _____.,�_.___ ___,- � � ._�.�._ * NUD mandated protections state tha# household members may not be required to disclose gender for HUD Programs. Sex is an optional field. 2. Select race and ethnicity for head of household: Racial Categories(Select All That Apply) * Optional f Ethnic Categories (Select On�) -- --- -- - , ❑ American Indian Native Hawaiian or [ White r [] Hispanic or Latino or Alaska Native Other Pacific Islander ❑ Asian ❑ Black or African � Other � ❑ Not-Hispanic or Not- American Latino 3. Please state the total gross annual (yearly} income of your household. (This includes income from employment for all persons 18 years of age and older,alimony and child support, social security, public aid, disability income, pensions, income from assets, interest and regular money gifts,j$ 4. Do you know Fifteenth Street Apartments is a Smoke-Free Cammunity? ❑Yes ❑ No 5. Do you or someone in yaur household identify as disabled according to the federal definition of a disability? ❑ Yes ❑ No u � 6. if yes,would any member of your family benefit from the features of an accessible unit? �Yes ❑ No Piease describe the features needed, not the disability:��_ 7. Are you a Veteran? �Yes ❑ No 8. Please identify the name af the agency that may have referred you: 9. Please list all states and caunties of residence since 1996 for all applicants 18 years of age or older {use additional sheets if necessary): n � AUTHORIZATION TO CHECK CREdIT AND CRIMIIVAL RECORDS: I/we understand and hereby authorize agentJowner of Fifteenth Street Apartments and any consumer or credit reporting agency or bureau employed by it to investigate my(our)character,general reputation, made of living,credit and financial responsibility and the statements made in the Preliminary Application,to inquire into and check for criminal records,civil judgments and other relevant information,and to make a consumer or credit report in connection therewith. IJwe understand that any false statement on this application will disqualify my application and my name will not be put on the waiting list. I further agree that if an apartment becomes available and housing assistance is offered, I will provide verification of my eligibility as prescribed by HUD and or Section 42 of the Internal Revenue Code. Signature(Head of Household} Date 5ignature(SpousejCo-Head} Date The PreliminaryApplication must be postmarked and received by management via mail. STATEMENT OF NONDISCRIMiNATIQN ON BASIS OF DISABILITY: The owner and managing agent of this property do not discriminate on the basis of race,color, religion, national origin,familial status,sexual orientation,gender,marital status, military and disability or handicap status in the admission or access to, ar treatment or employment in, their federally assisted programs and activities. Applicants with a disability,as defined under HUD's program regulations, have the right to request reasonable accommodations where necessary to participate in the application pracess or make effective use of the housing program. To make such a request please contact the property's management office. . �. L=f (�, ` TAMMY ARCHER-BLACKBURN FULLCIRCLE , �� _ -��, , � � ��.� , �: property manager alt.manager@fccommunities.org �`_�l'ie �z��o.z �51'4t �iiic�f� `t�zct.r�' We believe that housing is the foundation. 1362 blairs ferry phone 319-450-7714 marion, ia 52302 fax 319-320-7848 � Q L www.fccomm�mities.org!alt ....... (;�1,