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At,ent I nforr iation (print) Same as Property Owner 0 Different, as below It (Check one) <br />Name: o I t Dt C k-C FJ _ E -mail address: M N un it P d -eg.. k-Ln n o uP. LCD wl <br />Address: q IZ Ms1iN GJt NW G V14V 2-60 MN 5,5,3 ?0 <br />Strce City State 'Lip Code <br />Phone (w): <br />III. SIGNATURE <br />I certify that &A T R T W r k e tis dd of ed as a small business, For - Profit and is not a religious, <br />(Business name) <br />political, casin , sports facility, or pornographic enterprise. I further certify that all information provided in <br />this application is true and correct to the best of my knowledge. I authorize the city of Elk River and the <br />Finance Committee to check credit refers :s ate« ifs �:aii.cial -aiid other information. I further agree, if <br />approved, tot he loan security and guarantees required by the Subsidy policy. I agree to provide any <br />additional information as may be requested by the city and the Finance Committee. <br />Agreement to Pay Costs of Review <br />It is the policy of the City of Elk River to require 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 City. These costs include <br />all of the City' out -of- pocket costs for expenses, including the City's costs for review of the application by <br />the City's Financial Consultant and City Attorney, or other consultants, recording fees, and necessary <br />publication colts. <br />The application processing fees cover anticipated costs; costs incurred above the application fee will be <br />invoiced as they 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 this agreement, the City may suspend the application review process and may deny the <br />application foi failure to comply with the requirements for processing the application. Payment for costs will <br />be required wl ether the application is granted or denied. <br />The undersigr ed has received the City's policy regarding the payment of costs of review, understands that <br />reimburseme to the City of costs incurred in reviewing the application will be required, agrees to reimburse <br />the City as rec uired in the policy and make payment when billed by the City, and agrees that the application <br />maybe denied p <br />for failure to reimburse the City for costs as provided in the olicy. <br />Note: All Maj r shareholders will be required tasign personal guarantees and a minimum assessment <br />agreement if front financing of the project i quired. <br />APPLICAN SIGNATURE <br />TITLE O V11 P Ft �' j d e ht DATE v u r r-, ( Z Q <br />C: \IC rs \TimOffiee\ Desktop \Decldan Group \(:Iients \f?CONI)EV \Sportech, Inc \Expansion \Forms from City\FDA tax abatement <br />application.docx <br />2/3/2015 Last Modified <br />