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If NO, what percentage does the applicant occupy and what occupies the balance <br />of space? <br />__________________________________________________________________ <br /> <br />__________________________________________________________________ <br /> <br />III. REHABILITATION PROPOSED <br />Briefly describe the proposed work and purpose. <br />Exterior: <br /> <br />Interior: <br /> <br />*Note: A detailed Scope of Work document is required prior to approval. <br />IV. BUILDING INSPECTION <br />Building owner grants permission for the city inspector to inspect all work to be <br />performed as outlined in Scope of Work. <br />_______________________________________ _______________________ <br />Signature of Owner Date <br />V. FINANCIAL INSTITUTION INFORMATION <br />Name: <br />Address: <br />Loan Officer: Phone: <br />___________________________________________ ____________________ <br />Local Business or Non-Residential Real Estate OwnerÓs Signature Date <br /> <br />___________________________________________ ____________________ <br />Local Business or Non-Residential Real Estate OwnerÓs Signature Date <br /> <br />14 <br /> <br />