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Agent Infor ation (ptig) Same as Propertt• Owner ❑ Different, as below- & (Check ow) <br />Name: 0101C Dt C kC F-1 is -mail address: 11 -tC.k- v► Gel iLA_f1 <br />Address: 12 Moir GJt Nw V1 4V 7-50 c1 V, hVc'F- MT11 5 5330 <br />5tre163-5b13-9+<90b trite Mate Zip Code <br />Phone (w): <br />III, SIG ATURE <br />I certify that & A T t is deftned as a small business, For - Profit and is not a religious, <br />(liusin�.a aiaenr) <br />political, casin , sports facility, or pornographic enterprise. I further certify that all information provided in <br />this applicatiot is true and correct to the best of my knowledge. I authorize the city of Elk River and the. <br />1'tllallce Ot71 1ttCt t0 Clli`Cli credit rC1('i't 5,4 i dat, 'r Lll� .. :.�jC :4i ilt_ i other it]fG1Yliiltlf)il. I further agree, if <br />approved, to t e loan security and guarantees required by the Subsidy policy. I agree to provide any <br />additional info ation as may be requested by the city and the Finance Committee. <br />It is the policy of the City of Flk River to rcquire applicants to pay- costs incurred by the City in reviewing and <br />acting upon a plications, so that these costs are not borne by the taxpayers of the Cir(-. These costs include <br />all of the City out -of- pocket costs for expenses, including the Citt•'s costs for review of the application by <br />the City's Financial Consultant and Cite Attorney, or other consultants, recording fees, and necessary <br />publication colts. <br />"I'lle application processing fees cover anticipated costs; costs incurred above the application fee will be <br />invoiced as th y are incurred, and payment will be due within thirty (30) days. Application fees are not <br />refundable, though any unused portion is returned at the request of the applicant. If payment is not received <br />as required by his agreement, the City may suspend the application review process and may deny the <br />application f6t failure to comply with the requirements for processing the application. Payment for costs will <br />be required NVI ether the application is granted or denied. <br />'17ie undersigr ed has received the City's policy regarding the payment of costs of review, understands that <br />reimburserne to the City of costs incurred in reviewing the application will be required, agrees to reimburse <br />the Cite as re uired in the policy and make payment when billed by the City, and agrees that the application <br />may be denied for failure to reimburse the City for costs as provided in the policy. <br />Notes dl Maj ar charcholdcrs will he required to sign. pc:snnal guarantees and a minimum 9sses4ment <br />agreement if up front financing of the project L' <br />APPL WAN SIGN A'TURE <br />TITTLE vi rl -r O �' � t6 � � � h 1 DATE b �� �' � ti � / V } iJ <br />C: \t , sa :+ \TimOfFiicc \1)vskL0r \I)cckhii (irotap \Chcius \I .i :( )NIA-- Sportech, Inc \I?sp :nn >st \1`a,rans from ( :111y\F1)A U.\ alrtictttena <br />applicatioomd rcz <br />2 /.1/?t115 Last Modilicd <br />