#11 - Conduit Bonding Discussion

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10. ATTACHMENTS: Attach the following information with the application. Application is not considered complete until all documents have been received. a) Description of the project; b) Give a brief description of the nature of the business, principal products, etc.; c) Plot plan, elevation of proposed buildings, landscape, lighting, and site preparation; d) Preliminary sources and uses for financing project; e) Initial application fee; and f) Indemnification Letter of Agreement. I certify that the information provided above contains no misrepresentations, omissions or concealments of material facts and that the information given is true and complete to the best of my knowledge. I have been furnished a copy of the Procedure for Application to the City of Shakopee for Private Activity Revenue Bond Financing and I am aware of its content and agree to be bound by its terms and the terms of the indemnification letter. Signature / Title Date NOTICE TO COMPANY: Data Practices Act The information that you supply in your application to the City of Shakopee /Shakopee EDA ( "City ") will be used to assess your eligibility for financial assistance. The City will not be able to process your application without this information. The Minnesota Government Data Practices Act (Minnesota Statutes, Chapter 13) governs whether the information that you are providing to the City is public or private. If financial assistance is provided for the project, the information submitted in connection with your application will become public, except for those items protected under Minnesota Statutes, Section 13.59, Subdivision 3(b) or Section 13.591, Subdivision 2. I have read the above statement and I agree to supply the information to the City with full knowledge of the matters contained in this notice. I certify that the information submitted in connection with the application is true and accurate. Signature / Title Date Page 10