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ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br /> <br />i. CONTACT INFORMATION <br /> <br />Company: <br /> <br />Address: <br /> <br />City. / State / Zip <br /> <br />Contact Pe:son(s) <br /> <br />Business Phone <br /> <br />l:~qX <br /> <br />Home Phone <br /> <br />Em~ <br /> <br />Check One: __ P:oprietor __Corporation Parme~:sbip <br /> <br />Social Security No. <br /> <br />Federal ID # <br /> <br />State ID ~ <br /> <br />!i. NATURE OF LOAN REQUEST <br /> <br />Which Micro-Loan Program aze you applying for.; <br /> Supplemental Financing Program <br /> __ Redevelopment Financing Pzogram <br /> __ Industrial Incentive Prog~:am <br /> <br />Amount Requested: <br /> <br />Total Project Cost: <br /> <br />Type of project: <br /> __ New construction for a start up btzsmess. <br /> __ New construction for an e.,dstmg business. <br /> __ On site expansion <br /> __ Equipment purchase <br /> __ RemodeLing: (Sfr~k 0tie) Commercial / Retail / Indusrri.ql <br /> ~.Othez <br /> <br />Please ~ve a brief summ:zry o£your business and its products or service: <br /> <br /> <br />