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10 <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A.APPLICANT INFORMATION <br />QsftczufsjboIpnftIpvtjohboeBttjtufeMjwjoh-Jod/ <br />Name of Corporation/Partnership <br />3956!Ibnmjof!Bwf!O-!Sptfwjmmf-!NO!66524 <br />Address <br />Tbn!Kbhpe{jotlj <br />Primary Contact <br />3956!Ibnmjof!Bwf!O-!Sptfwjmmf-!NO!66524 <br />Address <br />tkbhpe{jotljAtfojpsqbsuofst/dpn <br />762.494.679: <br />O0B <br />Phone Fax E-mail <br />Type of business assistance requested (select one): <br /> Tax Abatement Tax Increment Financing Revolving Loan Fund 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 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 as Part 5 if required. <br />Wboubhf!Mbx!Hspvq <br />Attorney Name <br />236!TF!Nbjo!Tu-!Njoofbqpmjt-!NO!66525 <br />Address <br />kfssz/qfsspoAwboubhf/mbx <br />!723.464.2:95 <br />O0B <br />Phone Fax E-mail <br />Up!Cf!Efufsnjofe <br />Contractor Name <br />Address <br />O0B <br />Phone Fax E-mail <br />Ljnmfz.Ipso <br />Engineer Name <br />78!O/!Fvtujt!Tusffu-!Tvjuf!211-!Tu/!Qbvm-!NO!66225 <br />Address <br />njudifmm/dpplbtAljnmfz.ipso/dpn <br />723.3:5.8361 <br />O0B <br />Phone Fax E-mail <br />CLW!Hspvq <br />Architect Name <br />333!Opsui!3oe!Tusffu-!Tvjuf!212!Njoofbqpmjt!NO!66512 <br />Address <br />dqbmlpxjutdiAclwhspvq/dpn <br />723.484.:221 <br />O0B <br />Phone Fax E-mail <br />