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<br /> <br />ELK RIVER ECONOMIC DEVELOPMENT <br />TAX INCREMENT APPLICATION <br /> <br /> <br />CONTACT INFORMATION <br /> <br />Legal Name of Business: <br /> <br />Project Site Address: <br /> <br />City / State / Zip <br /> <br />Contact Person(s) <br /> <br /> <br />Business PhoneFax <br /> <br /> <br />Home Phone Email <br /> <br /> <br />Check One:Proprietor CorporationPartnership <br /> <br /> <br />Federal ID #State ID # <br /> <br />PROJECT INFORMATION <br /> <br />Property Information (please print) <br />Address: ______________________________Parcel Number: 75 - _____ - _________ <br />Legal Description: <br /> <br /> <br />Site Plan and Preliminary Construction Plans Attached: ____ Yes ____ No <br /> <br />The project will be: <br /> <br /> <br /> Redevelopment District <br /> Renewal & Renovation District <br /> Economic Development <br /> Housing District <br /> Soils Condition District <br /> <br /> <br />Amount Requested: $Total Project Cost: $ <br /> <br />The project will be: ____Owner Occupied ____Leased Space <br />If Leased Space ____ Percent Occupied 6 months after Certificate of Occupancy <br /> <br />City of Elk River Tax Increment Financing Policy & Application <br />Amended March 2017 <br />Page 10 of 15 <br />