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3. Description of Improvements: <br />Exterior Improvements: <br />Interior Improvements: <br />Site Improvements: <br />Total Cost of Improvements: $ <br />Estimated Start and Completion Dates <br />4. Job Retention /Creation: <br />Current Number of Employees: <br />Number of Jobs to be Created: <br />Date When Jobs Will Be Created: <br />Types of Jobs to be Created: <br />Title: Title: <br />Average Wage: ($hour) Average Wage: ($hour) <br />5. Amount Requested from BRLF Program: $ <br />Percent of total project cost: <br />To be used for: <br />I, the Building Owner /Business Owner grant permission for the Columbia Heights <br />Building Inspector to Pre- inspect the property. <br />Signature of Property Owner Date <br />-12- <br />