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Street City State Zip Code <br /> Phone : <br /> Legal Name of Business: <br /> Check One: Proprietor Corporation Partnership <br /> Federal ID # State ID # <br /> Agent Information (print) Same as Property Owner Different,as below I I (Check one) <br /> Name: E-mail address: <br /> Address: <br /> Street City State Zip Code <br /> Phone (w): <br /> III. SIGNATURE <br /> I certify that is defined as a Small Business,For-Profit and is not a religious, <br /> (Business name) <br /> Political, Casino,Sports Facility,or Pornographic Enterprise. I further certify that all information <br /> provided in this application is true and correct to the best of my knowledge. I authorize the city of <br /> Elk River and the Finance Committee to check credit references and verify financial and other <br /> information. I further agree,if approved, to the loan security and guarantees required by the Subsidy <br /> policy. I agree to provide any additional information as may be requested by the city. <br /> Agreement to Pay Costs of Review <br /> It is the policy of the City of Elk River to require applicants to pay costs incurred by the City in <br /> reviewing and acting upon applications,so that these costs are not borne by the taxpayers of the City. <br /> These costs include all of the City's out-of-pocket costs for expenses, including the City's costs for <br /> review of the application by the City's Financial Consultant and City Attorney, or other consultants, <br /> recording fees,and necessary publication costs. <br /> The application processing fees cover anticipated costs;costs incurred above the application fee will <br /> be invoiced as they are incurred,and payment will be due within thirty (30) days. Application fees <br /> are not refundable,though any unused portion is returned at the request of the applicant. If payment <br /> is not received as required by this agreement,the City may suspend the application review process <br /> and may deny the application for failure to comply with the requirements for processing the <br /> application. Payment for costs will be required whether the application is granted or denied. <br /> The undersigned has received the City's policy regarding the payment of costs of review, understands <br /> that reimbursement to the City of costs incurred in reviewing the application will be required, agrees <br /> to reimburse the City as required in the policy and make payment when billed by the City, and agrees <br /> that the application may be denied for failure to reimburse the City for costs as provided in the <br /> policy. <br /> Note:All Major shareholders will be required to sign personal guarantees and a minimum <br /> assessment agreement if up front financing of the project is required. <br /> APPLICANT SIGNATURE: <br /> TITLE: DATE: <br /> City of Elk River Tax Increment Financing Policy&Application- Housing1 1 <br /> Amended April 8 2015 NATURE <br /> Page 10 of 14 <br />