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<br />.~ -C." .." - -- . - - , - -. <br />..0 :;:;".E~.~.,:",,>.~,-.-.,::,;-,-:,'..;;::;;:;,;::,:, . ..-----~~-o' -- _c______ <br /> <br />10 <br /> <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of Corporation/Partnership <br />Address <br />. Primary Contact <br />Address <br /> <br />Phone <br /> <br />Fax <br /> <br />E-mail <br /> <br />Type of business assistance requested (select one): <br />D Tax Abatemelit DTax Increment Financing <br /> <br />DE~XQlymg;[Q~ii.~[i!a <br /> <br />Have you been, or are you currently, involved in any bankruptcy proceedings or lawsuits related to <br />other development projects with which you have been involved? If yes, please provide an <br />explana,tion. . <br /> <br />DYes <br /> <br />DNa <br /> <br />On a separate sheet, please provide the following: <br /> <br />. Brief description of the corporation/partnership's business, including history, principal product <br />or service, etc. Attach as Part 1.. . <br />. List nanIes of officers and shareholders/partners with more than five percent (5%) interest in <br />the corporation/partnership. Attach as Part 2. <br />. Brief description of the proposed project. Attach as Part 3. <br />. A but for analysis and narrative. Attach as Part 4, <br /> <br />. Completed Revolving Loan Fund Application. Attach as Part 5 if required. <br /> <br />Attomey Name <br />Address <br />Phone <br /> <br />Fax <br /> <br />E-mail <br /> <br />Contractor Name <br />Address <br />Phone <br /> <br />Fax <br /> <br />E-mail <br /> <br />Engineer Name <br />Address <br />Phone <br /> <br />Fax <br /> <br />E-mail <br /> <br />Architect Name <br />Address <br />Phone <br /> <br />fax <br /> <br />E-mail <br /> <br />23 <br />