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:irefox <br />about:blank <br />1i <br />EXHIBIT <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION 1 <br />Name of Corporation/Partnership ' I e �. , ct n 1 � l t 7 Su .-• ,�� e_ 61100 <br />Address f I 1 S Q 5 H 4A-7! I / 0 <br />f l , i <br />Primary Contact ' TK <br />Address <br />Phone E-mail <br />Type of business assistance requested (select one): <br />Tax Abatement ❑Tax Increment Financing ❑Revolving Loan Fund 1 et <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 />❑ Yes $No <br />On a separate sheet, please provide the following: <br />• Brief description of the corporation/partnership's business, including history, principal product <br />os scrvico, etc. Attach a Part 1. <br />• List names 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 a8 Part 5 It required. <br />Attorney Name <br />Address <br />Phone Fax E-mail <br />Contractor Name l Im ci c}' &srCcap <br />Addres &�.,5.e7, 4) 26.. <br />Phone ----.--- E-mail Ro,AAy P'� RU. LO, 1 <br />Engineer Name <br />Address <br />Phone <br />Architect Name <br />Address Vi 4d <br />Phone <br />ax E-mail <br />Cr+'�Mt 5o Oe fob <br />I- ce RC 5 sv La_) is Perk s y2 <br />E-mail <br />1 of 5 1,3•21, t1:11 AAr1 <br />