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A. APPLICANT INFORMATION <br />Name of Corporation/Partnership <br />Address <br />Primary Contact <br />Address <br />-184- <br />Contractor Name <br />Address <br />Phone <br />Engineer Name <br />Address — <br />Phone <br />Architect Name <br />Address _ <br />Phone <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />Fax <br />Phone <br />Type of business assistance requested (select one): <br />Tax Abatement OTax Increment Financing []Revolving Loan Fund <br />Have Y ou been, or are you currently, involved in any bankruptcy pf oceedingse or lawsuits related to <br />other development projects with which you have been involved? yes, <br />Yes O <br />On a separate sheet, please provide the following: <br />• Brief description,of the corporation/partnership's business, including history, principal product <br />or service, etc. Attach as Part 1. <br />• List flames 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 />• Completed Revolving Loan Fund Application. Attach as Part 5 if required. <br />Attorney Name <br />Address <br />Phone • Fax E -mail <br />Fax <br />E -mail <br />E -mail <br />E - snail <br />E -mail <br />10 <br />