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05/08/17
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05/08/17
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<br />10 <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of Corporation/Partnership <br />Address <br />Primary Contact <br />Address <br />Phone Fax E-mail <br /> <br />Type of business assistance requested (select one): <br /> Tax Abatement Tax Increment Financing Revolving Loan Fund Other <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 />explanation. <br /> <br /> Yes No <br /> <br />On a separate sheet, please provide the following: <br /> <br />. Attach asPart 1 <br />or service, etc . <br />List names of officers and shareholders/partners with more than five percent (5%) interest in <br /> <br />Attach as Part 2 <br />the corporation/partnership. . <br />Attach asPart 3 <br />Brief description of the proposed project. . <br /> <br />Attach as Part 4 <br />A but for analysis and narrative. . <br /> <br />Attach as Part 5 if required. <br />Completed Revolving Loan Fund Application. <br /> <br />Attorney Name <br />Address <br />Phone Fax E-mail <br /> <br />Contractor Name <br />Address <br />Phone Fax E-mail <br /> <br />Engineer Name <br />Address <br />Phone Fax E-mail <br /> <br />Architect Name <br />Address <br />Phone Fax E-mail <br /> <br /> <br />
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