8. Draft Facade Improvement Loan ApplicationPage 1 of 2
City of Scandia
14727 209th St. N. PO Box 128, Scandia, Minnesota 55073
Phone (651) 433-2274 Fax (651) 433-5112 http://www.ci.scandia.mn.us
Scandia Façade Improvement Loan Application
Adopted:
PROPERTY OWNER/APPLICANT NAME(S):
_________________________________________________________________
NAME OF BUSINESS AND DBA _______________________________________________________________
EIN/SSI_______________ Business is: ☐ Proprietorship ☐ Partnership ☐ Corporation
Name of Business Principal(s): _______________________________________________________________
PROPERTY OWNER ADDRESS: _______________________________________________________________
CITY: ________________________________ STATE: _______________ ZIP: ________________________
PHONE: ________________________________ EMAIL: __________________________________________
ADDRESS TO BE IMPROVED: ________________________________________________________________
PARCEL NUMBER: ________________________________________________________________________
BRIEF DESCRIPTION OF PROPOSED PROJECT: ___________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
CONTRACTOR NAME: ______________________________________________________________________
TOTAL PROJECT COST: ___________________________
TOTAL LOAN REQUESTED: _________________________ (SEE POLICY FOR DETAILS ON LOAN CAPS)
OWNER/APPLICANT EQUITY: _______________________
PLEASE IDENTIFY ADDITIONAL LENDERS ASSOCIATED WITH THIS PROJECT IF ANY:
____________________________________________________________________________________________
Please initial the following statements if you agree to them and accept their conditions:
__________I understand that I am applying for public funds and any information submitted
with this application may be subject to public disclosure pursuant to Government Data
Practices Act, MN Statute, Chapter 13.
_______I certify this information to be true and correct to the best of my knowledge
under penalty of perjury.
Page 2 of 2
City of Scandia
14727 209th St. N. PO Box 128, Scandia, Minnesota 55073
Phone (651) 433-2274 Fax (651) 433-5112 http://www.ci.scandia.mn.us
_______I have read and am within the guidelines of the Scandia Façade Improvement
Program. I understand that any deviation from my project proposal must be pre-approved.
_______I understand that work cannot begin until my project is formally approved by the
EDA Board.
_______I understand that payment of proceeds must be submitted for City Council
approval based on this program’s policy.
Authorized Signatures: ___________________________________ Date: ____________
___________________________________ Date: ____________
DOCUMENTATION NEEDED:
Project Proposal Consent (Image)
Contractor Bids/Quotes of the Project
Profit and Loss (existing business) Financial Projections (new business)
Balance Sheet / Personal Financial Statement Business / Personal Tax Return
Abstract of Title or Warranty Deed w/ legal description Property Tax Statement
Application Fee
STAFF USE:
Loan Amount
Term/Rate
Loan Review Subcommittee
Eda Board Approval
City Council Approval
Closing Date
Promissory Note/Loan Agreement
Mortgage Lien
Personal Guarantee (Corp)
Recorded at Land Office
Loan Start Date