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Restaurant Subsidy: Sign and Awning Program <br />Application <br />Business Owner: t C. bia. D. giAmrt5 ael <br />Property Owner \lari4tement Contact': me: <br />Business Name: t <br />150 SSa? `C ..tr.. <br />Address �_ <br />be <br />improved: <br />Phone(s): <br />Email: rt(wa.A So c cinou -i c i 9► Vt co" - <br />Short Project Description: <br />Total Improvement Cost: a is it1 0 O. 0 0 <br />Grant Request: <br />A(SOD.oc <br />Contractor Name Bid Amount <br />1. 0-ua.r' e.i So 19thsoitr 44-(. (0 0.00 _ <br />2_ DewtarS rgels apt ng. <br />Your application is not complete if you do not include: <br />1, Minimum two bids <br />(If you are doing the work yourself. attach a copy of the material costs on letterhead from the <br />material supplier) <br />I. Sketch`image of Project <br />2. Sign Permit <br />(You may apply without a permit. but EDA staff must receive it prior to disbursing funds) <br />3. W-9 Form <br />4. Photograph(s) of building prior to improvement <br />I AGREE ,Fitly and UNDERSTAND the following: <br />I have read and am within the guidelines for the Sigrt & Awning Grant Program. 1 understand <br />that if any information is incorrect or incomplete_ my chances of receiving funding will be A riSd� <br />delayed and nor hindered. LG CID w1/44rCeolatt- <br />Prop. Own r �I to 0r L nee: ir Rai", a` j <br />Signature: ,�. � (j Q <br />Date: 3 iyu4— 0 <br />Applicant Name: iV tt.,ka(45 D. St.i4 iSOrk <br />Signature: Ai . <br />Date: 3/4/24 <br />Applications will be reviewed in the order they are received_ <br />