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02/,14/00 11:52 Tr4417425 CITY/ELK RIVER Lgj010 <br /> a <br /> APPLICATION <br /> ECONOMIC DEVELOPMENT MICRO LOAN FUND <br /> • ELK RIVER, MINNESOTA <br /> I. CONTACT INFORMATION <br /> Company: l/l e/9 I/i �/ Rif l <br /> • Address: daC/S _���C <br /> City/State/Zip PI V 2- , MN//v - 53 3_30 <br /> Contact Person(s) <br /> Business Phone q ( I s2 8(, Fax q <br /> Home Phone <br /> 3 6ci —6/ 78 Email 4/K ( L)/tYc - Ma, e .LOM <br /> Check One: Proprietor Corporation Partnership <br /> Social Security No. (--( 17 —7 L— U 7S - <br /> Federal ID # State TT) # 111111.11111111111 <br /> IL NATURE OF LOAN REQUEST <br /> Which Micro-Loan Program are you applying for? <br /> X Supplemental Financing Program <br /> Redevelopment Financing Program <br /> Industrial Incentive Program <br /> Amount Requested: $ cO,, O" Total Project Cost; $ xQ • <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 /Retai.]./ Industrial <br /> Other <br /> Please give a brief summary of your business and its products or service: <br /> Uilia- /veto e Qo u)der COAT;1 ` S A (o fraLT- <br /> f V12 -F�Ai.Si/\.i n _ -SS Gl " Io o; d e 5 <br /> yak ►n <br /> $ejceS amtfcLe. Ait! <br /> Mit a //1107y-- (6e _57 <br /> B L).5 i e 53 6 ,J 1 / s� /17 -/ e j n/cocf a a- -c-' <br /> Jam . Isj (1 <br />