01-10-11 Special Called Regular Meeting of the La Porte Development Corporation Board of Directors

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DUSINfSS. BY IHf 8A Y. Please list Contractor and/or Project Architect Proposals and Total Amounts (attach original proposals): CONTRACTORIPROJECT ARCI-HTECT TOTAL AMOUNT $ $ $ $ $ 1. 2. 3. 4. 5. BUDG~T D~T AIL: PROJECT EXPENDITURES FUNDS REQUESTED FUNDS APPLIED TOTAL I=acsade Rehab $ $ $ Awnings/Signage $ $ $ Beautification $ $ $ Other (list): $ $ $ Other (list): $ $ $ TOTALS $ $ $ Total estimated cost of proposed project: $ Amount requested (up to 50% of total cost, $2,500 to $25,000): $ Please attach color samples, model numbers (for windows, doors, etc.), photos, scale drawing, and other illustrations of work to be completed. Please include as much detail as possible. Vour signature on this application certifies that you understand and agree with the following statements: I have met with the EGEC and I fully understand the Enhancement Grant procedures and details established. I intend to use these grant funds for the renovation projects, as spelled out in the application. I have not received, nor willi receive insurance monies for this revitalization project OR I have disclosed all pertinent insurance information. I understand that if I am awarded an \;nhancement Grant, any deviation from the approved project may result in the partial or total withdrawal of the grant funds. If I am awarded a reimbursement grant for fa<;:ade, awning, signage, beautification, or other approved work, alterations should not be made within five (5) years from construction; otherwise I may be required to reimburse the La Porte \;conomic Development Corporation immediately for the full amount of the grant. APPLICANT SIGNATURE DATE ENHANCEMENT GRANT APPLICATION. PAGE 2