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CITY OF WHITE BEAR LAKE <br /> REVOLVING LOAN PROGRAM <br /> GRANT APPLICATION <br /> Business Owner(s): <br /> Business Name: <br /> Business Address: <br /> Phone: <br /> Qualifying Rehabilitation: <br /> Cost of Rehabilitation: <br /> Facade Improvement(s): <br /> Facade Improvement Cost: <br /> Documentation on File: <br /> Grant Amount: <br /> I hereby acknowledge that the facade work and/or materials referenced above have <br /> been completed and paid for at the above address. <br /> Signature of Owner Date <br /> Signature of Executive Director HRA Authorizing Grant Date <br /> ill <br />