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ELK RIVER ECONOMIC DEVELOPMENT <br /> JOB INCENTIVE MICROLOAN FUND APPLICATION <br /> 1. 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 /> 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 /> Please give a brief summary of the project: <br />