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<br />ELK RIVER HOUSING AND REDEVELOPMENT AUTHORITY <br />FORVIABLE LOAN APPLICATION <br /> <br />I. CONTACT INFORMATION <br />Legal Name of Business: <br />Project Site Address: <br />City / State / Zip <br />Contact Person(s) <br /> <br />Business PhoneFax <br /> <br />Home Phone Email <br /> <br />Check One:Proprietor CorporationPartnership <br />Social Security No. <br /> <br />Federal ID #State ID # <br /> <br />II. NATURE OF LOAN REQUEST <br />Does your project involve the redevelopment of structurally subs <br /> Yes <br /> No <br /> <br />Amount Requested: $Total Project Cost: $ <br />Project timeline: <br />Please give a brief summary of your business and its products or <br /> <br /> <br /> <br /> <br /> <br /> <br />Blighted Properties Forgivable Loan Fund Application <br />Page 9of 15 <br />DRAFT <br /> <br />