Fillable 15734 Pre-Development Grant Program FY 2017-18

Fill Online, Printable, Fillable, Blank 15734 Pre-Development Grant Program FY 2017-18 Form

Use Fill to complete blank online CITY OF BEAVERTON (OR) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

15734 Pre-Development Grant Program FY 2017-18

On average this form takes 19 minutes to complete

The 15734 Pre-Development Grant Program FY 2017-18 form is 4 pages long and contains:

  • 2 signatures
  • 30 check-boxes
  • 53 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Beaverton

BROWSE CITY OF BEAVERTON (OR) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
PRE-DEVELOPMENT GRANT PROGRAM: Application PAGE 1 OF 4
APPLICATION
Pre-Development Grant Program
Updated for FY 2017-18
For Internal Use Only: Date Received _______________
Please review the attached Guidelines & Requirements prior to completing this application.
PLEASE SELECT ALL GRANTS YOU ARE APPLYING FOR WITH THIS APPLICATION:
☐ DESIGN SERVICES GRANT
☐ LEVEL 1: MATCHING GRANT
☐
LEVEL 2: MATCHING GRANT
1. Applicant Information - Person authorized to sign grant application on behalf of applicant / entity.
Applicant Name: Date:
Business Name:
Applicant Phone: Applicant Email:
Applicant Mailing Address:
Business Address, if Different:
Contact Name, if Different than Applicant Name:
Contact Phone: Contact Email:
Tax ID Number:
State of incorporation/organization documents filed? Oregon ☐ Other:
2. Project Information
Is the Property located within the Beaverton Urban Renewal District? Yes ☐ No ☐
Is the Property located within the RC-OT, RC-TO, IND, or OI zones? Yes ☐ No ☐
Property Address(es):
Property Tax Account Number(s): Year(s) Building(s) Built:
Concept Proposed (select all that may apply): Significant Building Rehabilitation ☐
Significant Redevelopment ☐ New Development of Significant Building(s) ☐
Brief Description of Proposed Project (if known). If requesting a Level 2 Matching Grant, Please
Describe Why Qualifies (Attach More Information, If Needed):
PRE-DEVELOPMENT GRANT PROGRAM: Application PAGE 2 OF 4
Please describe how the project concept could meet at least two of the following within the
next five years: significantly increase employment, housing, site density and/or use of transit or
alternative transportation (modes other than single occupant automobile use), provide mixed-
use development, urban-form development and/or improve area aesthetics?
Current
If possible, estimate change in five years
with project?
# of current employees:
# est. in five years if developed:
# of current market rate housing units: ___________
# est. in five years if developed:
# of current affordable housing units: ____________
# est. in five years if developed:
Square footage (SF) of current retail space: ______
SF est. in five years if developed: _____
Square footage (SF) of current office space: ______
SF est. in five years if developed: _____
Has this property received other public funding or grants in the past five years? Yes ☐ No ☐
If yes, please describe: _____________________________________________________________________
Is this property currently church, non-profit or government owned? Yes ☐ No ☐
3. Design / Feasibility (FOR MATCHING GRANTS ONLY)
What type of consultant(s) would you like to hire with this grant?
For the following, check all that apply:
Source(s) of matching funds: Bank/Credit Union Loan ☐ Friend/Family Loan ☐ Gift ☐
Business Savings ☐ Personal Savings ☐ Grant ☐ Other __________________________ ☐
Do you have a consultant preferred for the project? Yes ☐ No ☐
If Yes, please complete the following about the Architect or Consultant:
Business Name: Contact:
Did this consultant provide a prior proposal for the project? Yes ☐ No ☐ If Yes, please provide.
Address:
Phone: Email:
PRE-DEVELOPMENT GRANT PROGRAM: Application PAGE 3 OF 4
4. Property Owner - If applicant is not the Sole Property Owner, Owner Authorization Form is required with this application.
What is the Applicant’s ownership status in the property?
Sole Owner ☐ Joint Owner ☐ Applicant Has Property under Contract ☐
5. Include copies of the following for this application to be complete:
☐ REQUIRED: Current (before) photos of the subject property
☐ REQUIRED: Owner Authorization Form (If applicant is not the sole property owner)
☐ REQUIRED (Matching Grant only): Applicant’s W-9
☐ Any prior consultant proposals if you have a preferred consultant
☐ Any prior work or bids such as plans, elevations, sketches, or engineering related to the
proposed project
6. STATEMENT OF UNDERSTANDING & CERTIFICATION BY APPLICANT
I, , (The Applicant) understand that the City of
Beaverton must approve the proposed Pre-Development Grant scope of work. Certain
changes or modifications may be required by the City of Beaverton prior to final approval.
Commitment of funds will not be processed before the City of Beaverton has received the
necessary bids for the approved work. Any work started before a Commitment Letter is sent
will not be eligible for reimbursement. Furthermore, any work that is more than the approved
scope of work must be pre-approved by the City in order for the work to be eligible for
reimbursement.
The applicant certifies that all information in this application, and all information furnished in
support of this application, is given for the purpose of obtaining a Pre-Development grant and
is true and complete to the best of the applicant’s knowledge. Verification of any of the
information contained in this application may be obtained by the City of Beaverton from any
available source.
If the applicant is not the sole owner of the property, the Owner Authorization Form must be
completed and attached. The applicant is aware that a copy of the Beaverton Business
License and W-9 for the applicant must be attached to this application for it to be complete.
Applicant Signature: Date:
Applicant Printed Name: Title:
PLEASE RETURN COMPLETED APPLICATION AND REQUIRED SUPPLEMENTAL DOCUMENTS TO:
Janiene Lambert, Senior Development Project Manager
Email: jlambert@BeavertonOregon.gov
| Phone: (503) 526-2545
City of Beaverton, Community Development Department, PO Box 4755 Beaverton, OR 97076
Accessibility Information: This information can be made available in alternative formats such as large
print or audio tape. To request alternative formats, please call
503-526-2493 or email cddmail@BeavertonOregon.gov
and reference Pre-Development Grant.
click to sign
signature
click to edit
PRE-DEVELOPMENT GRANT PROGRAM: Application PAGE 4 OF 4
OWNER AUTHORIZATION FORM
Pre-Development Grant Program
NOTE: This form is only required if the applicant is not the property owner
Property Information
List all property ownership interests:
If not sole owner, please attach proof of ability to sign on behalf of ownership entity.
Property Owner Contact Name:
Phone: Email:
Property Tax Account Number: Year Built (if applicable):
Has this property received other public funding or grants in the past five years? Yes ☐ No ☐
If yes, please describe: _____________________________________________________________________
OWNER AUTHORIZATION
I, , am the owner of the property that is located at
in Beaverton, OR. I hereby give authorization for
, who has site control through an option, purchase
and sale agreement or other legal authority, to use the City of Beaverton’s Pre-Development
grant for this property.
Owner Signature: Date:
Owner Printed Name: Title:
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

15734 Pre-Development Grant Program FY 2017-18

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 11 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document