Laserfiche WebLink
L'6 <br />B"IsfVille Emergency Solutions Grant Program Application <br />COLORADO • 81NCE 1878 <br />for Louisville Small Businesses Impacted by the COVID-19 Pandemic <br />persons with social or personal problems requiring special services and to the <br />handicapped and the disadvantaged. <br />Required Documentation <br />❑ Complete and signed application <br />❑ W-9 (this allows the City to process a check if your grant application is approved) <br />Privacy Note <br />All applications will become property of the City of Louisville, and all applications are subject to <br />the Colorado Open Records Act, C.R.S. § 24-6-200.1, et seq., provided that the City will use <br />reasonable efforts to maintain the confidentiality of any confidential financial information <br />submitted, as permitted by law. <br />Questions/Contact <br />Megan E. Pierce, Economic Vitality Director- City of Louisville <br />mpierce@louisvilleco.gov or 303-335-4531 <br />Ciihmiccinnc <br />Due to the pandemic and application window, all applications must be submitted electronically. <br />The City will confirm receipt of all submissions. <br />Submit your application directly to: XX <br />Applicant/Business Information <br />First Name: Last Name: <br />Phone Number: <br />Email Address: <br />Business Name: <br />Business Address, Street: <br />Business Address, City, State, and Zip Code: <br />Business Phone Number: <br />❑ My business is located within the Highway 42 Revitalization Area. Because some grant <br />funding is being provided by the Louisville Revitalization Commission (LRC), please indicate <br />whether your business is within the Highway 42 Revitalization Area (see map below/next page). <br />