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<br /> Page 12 of 21 <br /> <br /> <br /> <br /> <br />ELK RIVER ECONOMIC DEVELOPMENT <br />MICROLOAN FUND APPLICATION <br /> <br /> <br />1. CONTACT INFORMATION <br />Legal Name of Business: <br /> <br />Project Site Address: <br /> <br />City / State / Zip <br /> <br />Contact Person(s) <br />Business Phone Fax <br /> <br />Home Phone Email <br /> <br />Check One: Proprietor Corporation Partnership <br />Federal ID # State ID # <br /> <br />2. NATURE OF LOAN REQUEST <br />Which Microloan Program are you applying for? <br /> Industrial Incentive Loan <br /> Downtown Revitalization Financing Loan <br /> Energy Efficiency Improvement Loan <br /> Micro-Brewery Loan <br /> <br />Amount Requested: $ Total Project Cost: $ <br />Type of project: 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 /> <br /> <br /> <br /> <br /> <br /> <br />