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ELK RIVER ECONOMIC DEVELOPMENT <br /> MICROLOAN FUND APPLICATION <br /> 1 , CONTACT INFORMATION <br /> Legal Name of Business: <br /> Project Site Address: <br /> "J" <br /> City State Zip <br /> Contact Person(s) <br /> Fax <br /> 3us'ness Phone <br /> Home Phone <br /> _3 <br /> Email <br /> Check One: Provrietor Corporat:ion Partnership <br /> Federal ID # State ID #_ <br /> 2. NATURE OF LOAN REQUEST <br /> Which Micro-Loan Program are you applying for? <br /> Industrial Incentive Program <br /> 1")owntown Revitalization Financing Prograin <br /> Energy E',fficiency improvement Program <br /> jobs Incentive Prograrn <br /> Amount Requested: $ Total Project Cost: $ <br /> Type of project: <br /> New construction for a start-up business <br /> New construction for an existing business <br /> Onsite expansion <br /> 'quipment purchase <br /> Remodeling: (tinle one) Commercial / Retail /Oin­dustrial <br /> Other <br /> Please give a brief summary of your business and its products or service: <br /> Page I I of 17 PO 1 1RI at <br /> NAWRE <br />