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ELK RIVER ECONOMIC DEVELOPMENT <br />TAX INCREMENT APPLICATION <br /> <br />CONTACT INFORMATION <br />Legal Name of Business: <br />Project Site Address: <br />City / State / Zip <br />Contact Person(s) <br /> <br />Business PhoneFax <br /> <br />Home PhoneEmail <br /> <br />Check One:Proprietor CorporationPartnership <br /> <br />Federal ID #State ID # <br />PROJECT INFORMATION <br />Property Information (please print) <br />Address: ______________________________Parcel Number: 75 - _____ - _________ <br />Legal Description: <br /> <br />Site Plan and Preliminary Construction Plans Attached: ____ ____ No <br />The project will be: <br />Redevelopment District <br />Renewal & Renovation District <br />Economic Development <br />Housing District <br />Soils Condition District <br /> <br />Amount Requested: $Total Project Cost: $ <br />The project will be: ____Owner Occupied ____Leased Spac <br />If Leased Space ____ Percent Occupied 6 months after Certificate <br />City of Elk River Tax Increment Financing Policy & Application <br />Amended March 2017 <br />Page 11 of 22 <br />498942v2 JSB EL185-13 <br />