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City of , Minnesota <br /> 16. Please indicate how the project would meet one or more of the following: Economic <br /> Development goals; creation of jobs that pay wages adequate to support households,job <br /> retention, or tax base expansion. <br /> 17. Municipal Reference (if applicable). Please name any other municipalities wherein the <br /> applicant, or other corporations the applicant has been involved with, has completed <br /> developments within the last five years. <br /> 18. Additional Comments: <br /> 19. Submit this form along with an initial$500 nonrefundable application fee.An additional fee <br /> of$5,500 will need to be submitted should the request for assistance proceed. <br /> Page 14 <br />