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<br />City of Mounds View Public Financing Policy & Application <br />Amended February, 2016 (Expected) <br />Page 9 of 21 <br /> <br />II. CONTACT INFORMATION <br /> <br />Public Information Notice <br />Generally, correspondence to and from Staff is considered public information. Specific data related to a financial <br />assistance request is deemed not public: Financial Information, Financial Statements, Net worth Calculations, <br />Business Plans, Income and Expense projections, Balance Sheets, Customer Lists, Income Tax returns. When <br />public financial assistance is received, only the following remains not public: Business Plans, Income and Expense <br />projections, Customer lists, Income tax returns, design, market, and feasibility studies not paid for with public <br />funds. The city does allow an applicant to submit sensitive financial information directly to the City’s financial <br />consultant, for additional security. <br /> <br />Property Owner Information (please print)Name: ________________________________________ <br /> <br />Personal E-mail address: _______________________________________________________________ <br /> <br />Personal Residence Address:______________________ ______________ _______ _______________ <br /> Street City State Zip Code <br />Phone : ____________________________________________________________________________ <br /> <br />Legal Name of Business: _______________________________________________________________ <br /> <br />Business E-mail address:________________________________________________________________ <br /> <br />Business Address: _______________________________ ________________ ______ __________ <br /> Street City State Zip Code <br /> <br />Check One: Proprietor Corporation Partnership <br /> <br />Federal ID # State ID # <br /> <br /> <br />Agent Information (print) Same as Property Owner Different, as below (Check one) <br />Name: _____________________________ E -mail address:___________________________________ <br />Address: _______________________________ ________________ ______ __________ <br /> Street City State Zip Code <br />Phone (w): _______________________ (m): _______________________(d): ___________________ <br /> <br />Attorney Name <br />Address <br />Phone Fax Email <br /> <br />Accountant Name <br />Address <br />Phone Fax Email <br /> <br />Contractor Name <br />Address <br />Phone Fax Email <br /> <br /> <br />