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ELK RIVER HOUSING AND REDEVELOPMENT AUTHORITY <br /> FORVIABLE COMMERCIAL/INDUSTRIAL LOAN <br /> APPLICATION <br /> I. CONTACT INFORMATION Legal Name of Business: 2 (Q vC-e ( ►- <br /> Project Site Address: 17)41:15 t ..kiiv1 <br /> City / State / Zip 1-1S—e) 1 Mu SS 363 <br /> Contact Person(s) T F ( <br /> Business Phone 7b3 )I ` ��&-O Fax 7(3 -7t - 8) <br /> Home Phone 0_i l ((1 2 33E 5101 Email f 1 1 pe e`T_Cvic` 5' <br /> Check One: Proprietor X Corporation Partnership <br /> Federal ID # ``1 I ' l 7/4?'1 State ID # 3'EO(22—) <br /> II. NATURE OF LOAN REQUEST <br /> Does your project involve the redevelopment of structurally substandard property? <br /> x Yes <br /> No <br /> Amount Requested: $ 75 000 Total Project Cost: $ q 26,c X) <br /> Project timeline: P(0) 3vn 3v' o. sfzt vt Gl 5 San C,.5 ix/551136- <br /> ,� cU(I / / l>19Oii%I f( <br /> Oath I - a.e� o l - £ n e-f b ud" - Iea✓t �// o i day,- f <br /> st-ea• pcodo /01-, C Lk C_/ ' c air) <br /> /v} <br /> O, ) 2 - ti-b co c ars,o' c4,ibitt l 'u e- r-0 2 / Ci'7 d c l (l,C1ls, .'ltcyi 1 c/ Ws'/u-i / C i <br /> r'UcuJ � <br /> /Nail() 3- ca'f L/ ✓,Ebi4/'1 tht racl, 2Y 1 ✓171A1(. <br /> Please ive a brief summary of your business and its products or service: • <br /> e PônØ5 is a prdwssi pit ( s74-ad i) dre shb,z <br /> l-r' iii r (U.S 1) trS <br /> We L���-C�l', �rs)q1 )�may,, c��, z d s fi=r .f <br /> r - , r< au.:(-Jf71ofi7 tY `� .�' C (r ( )/l f&1S �I-03, <br /> at i n ova(' )))&w.'. G a47( 0/6) Wi,c2 <br /> S hr•� O? *-4- ti-exit 51a O, J tex-r CO <br /> D c,h c��%�f I�x�x 1 i <br /> 4 I r# <br /> Blighted Properties Forgivable Commercial/Industrial Loan Fund Application Page 9 of 15 <br />