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III. REHABILITATION PROPOSED <br /> <br />Briefly describe the proposed work and purpose <br /> <br /> Exterior: <br /> <br />Interior: <br /> <br />Site Work: <br /> <br />(A detailed Scope of Work document with construction bids is required prior to <br />final approval to substantiate eligible costs. In addition, a visual inspection of <br />the site will be required to ensure that the improvements have been completed as <br />noted in the application and scope of work). <br /> <br />As a result of the rehabilitation, will you be creating any new jobs? <br /> <br /> Yes No If yes, how many? __ <br /> <br />IV. FINANCIAL INSTITUTION INFORMATION <br /> <br />Name: <br /> <br />Address: <br /> <br />Contact: Phone: <br /> <br />Business Owner's Signature <br /> <br />Date <br /> <br />Business Owner's Signature <br /> <br />Date <br /> <br />* Note: The participating bank has the right to require additional <br />documentation prior to consideration and approval of the request. <br /> <br /> <br />