4.12. SR 05-04-2015 - Laserfiche WebLink

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________ Street City State Zip Code Phone : __________________ Legal Name of Business: Check One:Proprietor CorporationPartnership Federal ID #State ID # Agent Information (print) Same as Property Owner Different, as below(Check one) Name: ____________________________ E-mail address: _______________________________ Address: _____________________________ _________________ ______ ________ Street City State Zip Code Phone (w): _______________________ III. SIGNATURE I certify that ___________________ is defined as a Small Business, For-Profit and is not a religious, (Business name) Political, Casino, Sports Facility, or Pornographic Enterprise. I further certify that all information provided in this application is true and correct to the best of my knowledge. I authorize the city of Elk River and the Finance Committee to check credit references and verify financial and other information. I further agree, if approved, to the loan security and guarantees required by the Subsidy policy. I agree to provide any additional information as may be requested by the city. Agreement to Pay Costs of Review It is the policy of the City of Elk River to require applicants to pay costs incurred by the City in reviewing and acting upon applications, so that these costs are not borne by the taxpayers of the City. These costs include all of the City’s out-of-pocket costs for expenses, including the City’s costs for review of the application by the City’s Financial Consultant and City Attorney, or other consultants, recording fees, and necessary publication costs. The application processing fees cover anticipated costs; costs incurred above the application fee will be invoiced as they are incurred, and payment will be due within thirty (30) days. Application fees are not refundable, though any unused portion is returned at the request of the applicant. If payment is not received as required by this agreement, the City may suspend the application review process and may deny the application for failure to comply with the requirements for processing the application. Payment for costs will be required whether the application is granted or denied. The undersigned has received the City’s policy regarding the payment of costs of review, understands that reimbursement to the City of costs incurred in reviewing the application will be required, agrees to reimburse the City as required in the policy and make payment when billed by the City, and agrees that the application may be denied for failure to reimburse the City for costs as provided in the policy. Note: All Major shareholders will be required to sign personal guarantees and a minimum assessment agreement if up front financing of the project is required. APPLICANT SIGNATURE: _______ TITLE: DATE: City of Elk River Tax Increment Financing Policy & Application- Housing Amended April 8 2015 Page 10 of 14