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1/11/2007 1 <br />City of Roseville/Roseville HRA <br />Application for Public Assistance <br />for <br />___________________________________ <br />(project name) <br />A. APPLICANT <br /> <br />1. Name of Business <br />Address <br />Address <br />Address <br /> <br />Main Contact Person Alternate Contact Person <br />Name Name <br />Title Title <br />Telephone # Telephone # <br />Fax # Fax # <br />E-mail E-mail <br /> <br />2. Provide a brief history and de scription of your business. <br />Attach additional information and materials if available. <br /> <br /> <br /> <br />3. Attach (and label as Exhibit A ) the following information fo r all other members of the <br />project team. Include such participants as architect, engineer, general contractor, <br />marketing consultant, financial adviser, appraiser, etc. <br /> <br />Name of Business <br />Address <br />Name of Contact Person(s) <br />Title <br />Phone # <br />Fax # <br />E-mail Address <br />