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PROJECT INFORMATION <br />Fill in the blanks and provide extra sheets where necessary. <br />1. Will the assistance requested have any negative impact(s) or effect(s) on the environment? <br />Yes No X Provide a brief description of potential environmental problems, if any. <br />Note: All applicants and businesses funded by the TCF will have to comply with federal regulations <br />regarding environmental clearance prior to spending TCF funds, as outlined on the Sources and Uses of <br />Funds form. See requirements and exceptions under environmental review in the program guidelines. <br />2. Will the assistance requested cause the displacement of individuals, families, businesses, or farms? <br />Yes No X <br />Number of: Individuals: <br />Families: <br />Businesses: <br />Farms: <br />3. Are you or your business(es) involved in any pending lawsuits? <br />Yes No X If yes, provide an explanation. <br />4. Has the business(es) or principal(s) included in this project ever been involved in bankruptcy or insolvency <br />proceedings? If yes, identify the specific business and or principal(s). <br />Chapter 7 <br />Yes <br />No <br />X <br />Date <br />Chapter 11 <br />Yes <br />No <br />X <br />Date <br />Chapter 13 <br />Yes <br />No <br />X <br />Date <br />Other <br />Yes <br />No <br />X <br />Date <br />Note: Generally, business and/or principal bankruptcy disqualifies a project; on a case by case basis <br />extenuating circumstances will be evaluated. Provide an explanation and a description of the current legal <br />status. <br />5. Will this project assist "brownfields" being redeveloped? No <br />6. Has the business previously received assistance from the Community Development Block Grant program (in this state <br />or any other state)? <br />If yes, provide an explanation to include when, where, amount, purpose/use <br />Yes No X of funds, and contact information. <br />7. Is there sufficient other infrastructure (except as requested in this application) to support this project? <br />Yes X No <br />8. Discuss any existing or proposed financial incentives (i.e. tax abatement) being provided/offered by local government <br />to the business. Financial incentives are being negotiated at this time. <br />