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Attachment G <br />2660 Civic Center Drive • Roseville, MN 55113 • Phone (651) 792-7000•www.cityofroseville.com <br />APF <br />PPLICATION FOR UBLIC INANCING <br />ApplicantInformation <br />1.Applicant Name: <br /> (Name should be the officially registered name of the business entity.) <br />Address: <br />Telephone: Email Address: <br />2.Name of Person Completing the application: <br />Address: <br />Telephone: Email Address: <br />3.Names and Addresses of Attorney, Architect, Engineer, and General Contractor for this <br />project: <br />Attorney Name: <br />Address: <br />Email Address: <br />Telephone: <br />Architect Name: <br />Address: <br />Telephone: Email Address: <br />Engineer Name <br />: <br />Address: <br />Telephone: Email Address: <br />General Contractor Name <br />: <br />Address: <br />Telephone: Email Address: <br /> <br />4.If the applicant is a corporation, please name officers, directors, or stockholders holding <br />more that 5% of the stock of the corporation. If the corporation is not formed, provide as <br />much information as possible concerning potential officers, directors, or stockholders: <br /> <br />