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ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br />1. CONTACT INFORMATION <br />~.egal Name of Business: <br />Address: <br />City /State /Zip <br />Contact Person(s) <br />Business Phone <br />Home Phone <br />Check One: <br />Social Secuvty No. <br />Federal ID # <br />Proprietor Corporation Partnership <br />11. NATURE OF LOAN REQUEST <br />Which Micro-Loan Program axe you applying for? <br />Industrial Incentive Program <br />Redevelopment Financing Pxogxam <br />State ID # <br />Amount Requested: $ Total Project Cost: <br />Type of project: <br />New construction for a start up business. <br />New construction for an existing business. <br />On site expansion <br />Equipment purchase <br />Remodeling: (crxxle one) Commercial /Retail /Industrial <br />Other <br />Deleted: co.aea^v <br />Deleted: ~„ <br />Elk River Economic Uevelopment Authority page 9 of 15 <br />Micro Loan Fund Application <br />Re~iscd June 2004 <br />