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ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br />I. CONTACT INFORMATION <br />Legal Name of Business: <br />Address: <br />City /State /Zip <br />Contact Pexson(sj <br />Business Phone <br />Home Phone <br />Check One: Proprietor Corporation Partnership <br />Social Security No. <br />Federal ID # <br />Stare ID # <br />II. NATURE OF LOAN REQUEST <br />\X/hich Micro-Loan Program axe you applying for? <br />Industrial Incentive Program <br />Rehabiliation Financing Program <br />Amount Requested: $ Total Project Cost: <br />Type of project: <br />New construction fox a start up business. <br />New construction for an existing business. <br />On site expansion <br />Equipment purchase <br />Remodeling: (circle one Commercial ~ Retail ~ Industrial <br />Other <br />Micro Loan Fund Application Page 9 of 14 <br />Amended blay 2006 <br />