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10 <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of Corporation/Partnership Z Cr() Zone Ref Ait-'0.71.0,, 1- L- C <br />Address 615i irlofh /3ve Ntv 6.41sc /}9/✓ .SS, O3 <br />Primary Contact Ph,'I PG"fe,.ro <br />Address (IS1 /4L4t/ 4VC- AJ14/ RA.4),sey', ✓IN 55303 <br />Phone Fax 19Fax E-mail Oil" ft2cto <br />Type of business assistance requested (select one): l <br />❑ Tax Abatement [JTax Increment Financing ❑Revolving Loan Fund AOther <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 <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 PPartL5 if required./y / <br />Attorney Name Fo i( O'lv'11 // 4'�L� SA..,v '- , 1M , v/�v1. C.h A, C I K v ird f <br />Address &off A N V✓0.1 t/' SfJ7 _3-90 /1 � l'v49, v C / vi.r 5 3-2 QA <br />Phone01 f)..3" 31 31_ Fax E-mail <br />Contractor Name VaUCf D'zs. 01 d• ICI <br />P1 5-Ivy') <br />Address j / 1i 30 2 ✓t i1_ <br />Phone(` )`i9`i'? /0 Fax E-mail 13r1,41'0-,rSl°�s tt:dt ico✓r) <br />Engineer Name <br />Address <br />Phone <br />Fax <br />Architect Name <br />Address <br />Phone Fax <br />E-mail <br />E-mail <br />