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10 B. PROJECT INFORMATION 1. The project will be: ____Vacant Land Mixed Use Development ___New Construction ____ Rehab./Expansion ____Commercial Redevelopment: ____New Construction ____ Rehabilitation/Expansion ____Industrial Redevelopment: ____New Construction ____ Rehabilitation/Expansion ____Housing/Other_____________: ____New Construction ____ Rehabilitation/Expansion 2. In addition to the Mounds View EDA, applicant is requesting abatement rebate funds from: __ Ramsey County School District 621 3. The project will be: ___Owner Occupied ____Leased Space • If leased space, please attach a list names and addresses of future lessees and indicate the status of commitments or lease agreements. Attach as Exhibit E. 4. Project Address • Include Legal Description and PID Number. Attach as Exhibit F 5. Site Plan Attached: ____ Yes ____ No 6. Total Abatement Rebate Requested: $ over years. City Rebate Abatement : Annual $ Total $ County Rebate Abatement: Annual $ Total $ ISD 621 Rebate Abatement: Annual $ Total $ 7. Current Market Value of Project Site: $ Estimated Market Value upon Completion: $ Current Real Estate Taxes on Project Site: $___________ Estimated Real Estate Taxes upon Completion: $ 8. Construction Start Date: Construction Completion Date: If Phased Project: Year % Completed Year % Completed C. PUBLIC PURPOSE It is the policy of the Mounds View EDA that the use of tax abatement rebate financing should result in a benefit to the public. Please indicate how this project will serve a public purpose. ___Job Creation/Retention: Number of existing jobs Number of jobs created by project Average hourly wage of jobs created ___Industrial development resulting in additional private investment Enhancement and/or diversification of the city’s economic and tax base ___Removal of blight. ___Provide housing opportunities ___Expand the tax base ___Rehabilitation of a high profile or priority site. ___Other: Item 06A M.V. Tax Rebate Policy 9.22.03 Draft.doc