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Dbrp App Newfillableform

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The Dbrp App Newfillableform form is 2 pages long and contains:

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  • 5 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Lebanon

BROWSE CITY OF LEBANON (OR) FORMS

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Downtown Building
Restoration Program
Community Development
925 S. Main Street
Lebanon, Oregon 97355
TEL: 541.258.4256
cdc@ci.lebanon.or.us
www.ci.lebanon.or.us
Applicant name______________________________________________________________________________
Property Address____________________________________________________________________________
Mailing Address (if different) _______________________________________________________________
Phone___________________________________ Email________________________________________________
Applicant is: Building & Business Owner Tenant/Business Owner Building Owner
If the applicant is not the building owner, please provide the following:
Building Owner Name______________________________________________________________________
Mailing Address_____________________________________________________________________________
City_______________________________________ State____________________ Zip____________________
Option applicant is applying for: Option 1: Interest Grant Option 2: Micro Grant
Important: If the applicant is not the building owner, attach a letter from the building
owner providing consent and permission for the proposed façade renovation.
Proposed Project Description: (Attach additional pages if needed)
Requested Grant Amount: $__________________________________
Certification
I certify to the City of Lebanon that ALL information contained in this application is true
and correct to the best of my knowledge. I acknowledge that the funding source of the DBR
Program is the City of Lebanon and I understand that I must comply with all the regulations
of the DBR Program Team.
____________________________________________________ _________________
Applicant Signature Date
Estimated Total Cost of Project: $__________________________________
(Please include quotes from contractors)
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Dbrp App Newfillableform

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Completed 13 July 2020

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