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ELK RIVER ECONOMIC DEVELOPMENT <br /> MICROLOAN FUND APPLICATION <br /> I. CONTACT INFORMATION <br /> Legal Name of Business: <br /> Project Site Address: <br /> City/State/Zip <br /> Contact Person(s) <br /> Business Phone Fax <br /> Home Phone Email <br /> Check One: Proprietor Corporation 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 /> Downtown Revitalization Financing Program <br /> Energy Efficiency Improvement Program <br /> Jobs Incentive Program <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 /> On site expansion <br /> Equipment purchase <br /> Remodeling: (circle one Commercial/Retail/Industrial <br /> Other <br /> Please give a brief summary of your business and its products or service: <br /> Page 18 of 29 P 0 N E R € o a INATUREI <br />