eive a copy of Cis lam): Date of Next Review 0740-2019 Paved Name and Senatue of Sewn Official or the Reviewing Authoety and Date Signed. Record Copy - Centre! Fee This form replaces EIP-295(52) dated January 1988 Page 1 of 1 7/23/2019 EFTA00110622 BP-A295.052 SPECIAL HOUSING UNIT REVIEW U.S. DEPART