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EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of CorporationiParmership <br />Address - <br />Primary Contact <br />Address <br />Phone <br />0 <br />u <br />Type nf Frusiness assigtAnce requewted (select one)! <br />)0 Tax Abatement DTax increment Financing DRevolving Loan Fund ifb tier <br />Have you been, or arc you currently, involved in any bankruptcy proceedings or lawsuits related to <br />other development projects with which you have been involved? lf yes, pleas provide an <br />expianation. <br />El Yes <br />AND <br />1 0 <br />On a separate sheet, please provide the following: <br />• Brief description of the corporation/partnership's business, including hi-Aory, principal product <br />or service, etc. Attach as Part <br />• List names of officers and shareholdcrsipartners with more than fiNe percent (5%) interest in <br />the corporationipartnership. Attach as Part 2. <br />• Brief description of the proposed project. Attach as Part 3, <br />• A but for analysis and narrative. Attaeh as Part 4. <br />• Completed Revolving Loan Fund Application. Attach as Part 5 If required. <br />Attorney Name <br />Address <br />Phone <br />Contractor Name <br />Address <br />?hone <br />Engineer Nme <br />Address <br />Phone <br />Pt <br />Fax <br />Fax <br />E-mail <br />&-tccit_ <br />L-,23 <br />r144. <br />E-roail jcH RIJu,,1 <br />E-mail <br />VI <br />Architect Name <br />Dersioet_ <br />Address 100 ee co— LeA-c <br />Phone <br />Ar1/2 (C 5'S-112 t.".", <br />I of 5 1:t5i21, 11:11 iM <br />