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<br /> <br />100 Civic Center Parkway • Burnsville, MN 55377 • Phone (952) 8954400 <br /> <br /> <br />APPLICATION FOR PUBLIC FINANCING <br /> <br />Applicant Information <br />1. Applicant Name: <br /> (Name should be the officially registered name of the business entity.) <br />Address: <br /> <br />Telephone: Email Address: <br /> <br /> <br />2. Individual Completing the Application: <br /> <br />Address: <br /> <br />Telephone: Email Address: <br /> <br /> <br />3. Names and Addresses of Attorney Architect, Engineer, and Contractor for this Project: <br /> <br />Attorney Name: <br /> <br />Address: <br /> <br />Telephone: Email Address: <br /> <br />Architect Name: <br /> <br />Address: <br /> <br />Telephone: Email Address: <br /> <br />Engineer Name: <br /> <br />Address: <br /> <br />Telephone: Email Address: <br /> <br />Contractor Name: <br /> <br />Address: <br /> <br />Telephone: Email Address: