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City of , Minnesota <br /> EXHIBIT A <br /> REQUEST FOR FINANCIAL ASSISTANCE <br /> PROJECT: <br /> 1. Business Name: <br /> Address: <br /> Telephone: <br /> Contact: <br /> 2. Brief description of the business: <br /> 3. Present ownership of the site: <br /> 4. Proposed project: Building square footage, size of property, description of buildings— <br /> materials, etc. <br /> 5. Total Estimated Project Costs: <br /> a. Land Acquisition $ <br /> b. Site Development $ <br /> c. Building Cost $ <br /> d. Soft Costs $ <br /> e. Financing Costs $ <br /> f. Contingencies $ <br /> Total $ <br /> 6. Estimated Project Costs Eligible for TIF Assistance (i.e.Acquisition, Demolition, Site <br /> Improvements, Utilities, Streets): <br /> a. <br /> b. $ <br /> Page 12 <br />