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1 <br />ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br />(. CONTACT INFORMATION <br />Legal Name of Business: Ethanol Technology OfMrnnesota, LLC (ETOM) <br />Address: 1G820 Hwy 10 N. W <br />City /State /Zip Elk River, Mn 55330 <br />Contact Person(s) Barton (Bart) C. Wells (CEO) <br />Business Phone 763-633-9810 Fax 763-712-9087 <br />612-710-9644 -Cell <br />Home Phone NIA Email www.etechmn.com <br />Check One: Proprietor X Cor~ioration Partnership <br />(Limited Liability Corporation) <br />Social Security No. <br />Federal ID # 262521084 State ID # 2772616-2 <br />II. NATURE OF LOAN REQUEST <br />Which Micro-Loan Program are you applying for? <br />X ~ndustrrallncentrve Program <br />Rehabilitation Financing Program <br />Downtown Business Revitalization Loan Program <br />Amount Requested: $ 74,000 (20%) Total Project Cost: $ 372,175.00 <br />Type of project: <br />New construction for a start up business. <br />New construction for an existing business. <br />x On site expansion <br />X Equipment purchase <br />X Remodeling: (circle one) Commercial /Retail /Industrial <br />Refinancing existing debt <br />Other <br />Micro Loan Fund :application <br />emended No~rember 2006 <br />Page 9 of 14 <br />