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COMMU N[TY DEVELOPMENT DEPARTMENT <br /> 2660 Civic Center Drive Roseville MN 55113 <br /> phone: 651.490.2279 fax: 651.490.2931 <br /> BUSINESS LOAN PROGRAM <br /> APPLICATION FORM <br /> 1. APPLICANT INFORMATION <br /> Business Owner(s): <br /> Business Name: <br /> Business Address: <br /> PhoneWa : <br /> ,.., MIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IKI IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIY <br /> Business Structure: Sole Proprietorship <br /> Partnership (all partners must sign application) <br /> Corporation(list officers on separate sheet) <br /> Type of Business(describe): <br /> 11. PROPERTY INFORMATION <br /> Owner of Property(Name): <br /> (Address): <br /> (phone): <br /> Does the applicant business occupy the total building? Yes No <br /> If no,what percentage does the applicant business occupy and what occupies the <br /> balance of the space? <br />