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❑ Net Credit <br />EXHIBIT A <br />SEWER AVAILABILITY <br />CHARGE NET CREDIT <br />APPLICATION <br />A: Type of SAC Assistance Requested (select one) <br />n Small Business Loan <br />B: Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name of <br />Corporation/Business: <br />Street Address: <br />City, State, ZIP: <br />Phone: <br />Name of Primary Contact: <br />Address: <br />City, State, ZIP <br />Phone: <br />Email <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />Fax: <br />Fax: <br />C: Property Owner Information <br />(If different than Applicant) <br />Work Phone: <br />Fax Number: <br />