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10 <br />Address <br />Address <br />Phone <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of CorporationiPartnership tt. ;'"e-5 (-10A-ogIQ QA-A- <br />Address coo i Ei io_ta re g rkirr-1 042._ c). 13g ci.x 143/0 liaro.aktisA - A'# M4 f "I? <br />Primary Contact 5 itpliciA, PoRe. <br />Address <br />Phone Fax E-mail <br />Type of business assistance requested (select one): <br />El Tax Abatement OTax Increment Financing Revolving Loan Fund <br />kV4 <br />Other <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 />or service, etc. Attach as Part 1. <br />• List names of officers and shareholders/partners with more than five percent (5%) interest in <br />the corporation/partnership. Attach as Part2. <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 as Part 5 if required. <br />A <br />Attorney Name Lx) hionvr3 9 We'“,,, ;* Arityr ,Ce idge IAA-C*4, g, 111.0fr 1. 4.e IAACIr <br />Address 5 5tL,eY'r.tfell ) WM) 6' 5 vv.., ie. <br />Phone <br />Contractor Name <br />Address <br />Phone <br />Po le a q1 C ve- td5td <br />776c) fris,...A.-tg__ t.).P-- LUC_ 5, I tma. No) 55if <br />Engineer Name Vc)Ltie kv1/4471 vis Closiotte-- Piour)e..- <br />‘776 Lq& I to Lh.c, Lvides) m ,4) 50 <br />Architect Name c)c..517 Prrck e1/4 <br />e ctrio,51-c.4 cif AAP 35-5q 5 <br />Phone <br />