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PROJECT INFORMATION: <br />1. Location of Proposed Project: <br />2. Amount of Business Assistance requested? <br />3. Need for Business Assistance: <br />4. Present ownership of site: <br />5. Number of permanent jobs created as a result of project? <br />6. Estimated annual sales: Present: Future: <br />7. Market value of project following completion: <br />8. Anticipated start date: Completion Date: <br />FINANCIAL INFORMATION: <br />1. Estimated project related costs: <br />a. Land acquisition <br />b. Site development <br />c. Building cost <br />d. Equipment <br />e. Architecturallengineering fee <br />f. Legal fees <br />g. Off -site development costs <br />2. Source of financing: <br />a. Private financing institution <br />b. Business assistance funds <br />c. Other public funds <br />d. Developer equity <br />-96- <br />