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,, 2015 Financial Incentive <br />cElk - = Application <br />River Housing Tax Increment <br />Financing <br />I. PROJECT INFORMATION <br />Property Information (pleaseprant) <br />Address: Parcel Number: 75 - <br />The project will be: <br />Housing <br />Other <br />The project will be: <br />If Leased Space <br />Owner Occupied Leased Space <br />Percent Occupied 6 months after Certificate of Occupancy <br />Total Amount of Tax Increment Requested: $ over years. <br />City Portion: <br />County Portion: <br />ISD 728 Portion: <br />Current Real Estate Taxes on Project Site: <br />Annual $ Total $ <br />Annual $ Total $ <br />Annual $ Total $ <br />$ <br />Estimated Real Estate Taxes upon Completion: Phase I $ Phase II $ <br />Construction Start Date Construction Completion Date <br />Percent of project complete on December 31, current year. <br />II. CONTACT INFORMATION <br />Public Information Notice <br />Generally, correspondence to and from Staff is considered public information. Specific data related <br />to a financial assistance request is deemed not public: Financial Information, Financial Statements, <br />Net worth Calculations, Business Plans, Income and Expense projections, Balance Sheets, Customer <br />Lists, Income Tax returns. When public financial assistance is received, only the following remains <br />not public: Business Plans, Income and Expense projections, Customer lists, Income tax returns, <br />design, market, and feasibility studies not paid for with public funds. The city does allow an <br />applicant to submit sensitive financial information directly to the City's financial consultant, for <br />additional security. <br />Property Owner Information (pleaseprint)Name: <br />mail address: <br />Address: <br />E- <br />City of Elk River Tax Increment Financing Policy & Application- Housing P 0 N E A E 0 B T <br />Amended April 8 2015 <br />Page 9 of 14 11`4ATURE1 <br />