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Louisville Revitalization Commission <br />Application for Assistance <br /> <br />Parties interested in assistance from the Louisville Revitalization Commission must provide the <br />following information to be considered. <br /> <br />Project Name: <br />Applicant Name: <br />Main Contact: <br />Address: <br />Phone: Email: <br />Project Location: <br />Name, Address & Phone of Property Owner of Project Location (if different than Applicant): <br /> <br />Summary of Project: <br /> <br /> <br /> <br />Estimated Total Cost of Project: <br />Summary of Request for Assistance: <br /> <br /> <br /> <br /> <br />Additional Items to be submitted as Attachments: <br />1) Detailed description of the Project with supporting visuals (i.e. plans, designs). <br />2) Applicant’s experience with similar projects, if applicable. <br />3) Detailed description of the request for assistance from the Urban Renewal Authority. <br />4) Description of the community benefits resulting from the Project, including the blight <br />conditions the project will address (complete Attachment C with description). <br />5) Discussion of how the project improves the project property and neighboring properties. <br />6) Financials for the project. Applicant must provide a 10–year proforma for the project, a <br />Sources and Uses Budget for the entire project, and assumptions for retail sales and <br />assessed value of the Project for residential and commercial uses by year. (not required <br />is requested assistance is only for public infrastructure) <br />7) Timeframe of implementation of the Project <br />8) Discussion of Project risks. <br /> <br />Applicant Signature: <br />Name: <br />Date: <br />*Submitted applications and attachments are public documents and the information provided will <br />be provided to and used by public entities to evaluate and describe the project. <br />13