Laserfiche WebLink
10 <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of Corporation/Partnership <br />Address <br />Primary Contact <br />Address <br />Phone Fax E-mail <br />Type of business assistance requested (select one): <br />Tax Abatement ❑ Tax Increment Financing ❑ Revolving Loan Fund ❑ Other <br />❑ The applicant acknowledges and agrees that receiving financial assistance from the City valued at more <br />than $50,000 shall be required to meet the minimum criteria for a responsible contractor identified in Minn. <br />Stat. § 16C.285, subd. 3, and shall comply with the reporting requirements provided in Minn. Stat. § 16C.285, <br />subd. 4, 5, and 6, as applicable. <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 />Attorney Name <br />Address <br />Phone Fax E-mail <br />Contractor Name <br />Address <br />Phone Fax E-mail <br />Engineer Name <br />Address <br />Phone Fax E-mail <br />Architect Name <br />Address <br />Phone Fax E-mail <br />