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ELK RIVER HOUSING AND REDEVELOPMENT AUTHORITY <br /> FORVIABLE COMM ERCIAL/I N DUSTRIAL, LOAN <br /> APPLICATION <br /> 1. CONTACT INFORMATION <br /> Legal Name of Business: <br /> Project Site Address: `5 v E <br /> ("ity / State / Zip <br /> Contact Persons <br /> Business Phone ax <br /> Home Phone 2- 3S,E 56 —Ernail <br /> (;heck-- One: propnetor - Coi-poration Partnerslaap <br /> Federal ID # /1_.fState ID <br /> If. NATURE, OF LOAN REQUEST <br /> Does your project involve the redevelopment of structural1y substandard property? <br /> Yes <br /> No <br /> .Am(.-)unt Requested: $ -75 00() Total Pro;'ect Cost: LLk)— <br /> Project timefine: App�o ?)Vn 0, r t �is dW, 16,5 i' obil <br /> Please aive a brief summary of your flv <br /> business and its products or sen7ice: <br /> , / <br /> t <br /> "Y 76 <br /> 0 aA- if <br /> BLighted Properties Forgivablc Commercial/Industrial Loan Fund Application Page 9 of 15 <br />