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ELK RIVER ECONOMIC DEVELOPMENT <br /> MICROLOAN FUND APPLICATION <br /> I. CONTACT INFORMATION <br /> Legal Name of Business: <br /> Project Site Address: <br /> City / State / Zip <br /> Contact Person(s) <br /> Business Phone Fax <br /> Home Phone Email <br /> Check One: Proprietor Corporation Partnership <br /> Social Security No. <br /> Federal ID # State ID # <br /> II. NATURE OF LOAN REQUEST <br /> Which Micro-Loan Program are you applying for? <br /> Industrial Incentive Program <br /> Downtown Revitalization Financing Program <br /> Energy Efficiency Improvement Program <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: (circle one)Commercial/ Retail / Industrial <br /> Refinancing existing debt <br /> Other <br /> Page 10of15 P 1 I E 1 E 1 B 1 <br /> INA1URE <br />