Fillable Funding Application Call for Projects (Revitalization Incentive Program) (City of La Grande, Oregon)

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Funding Application Call for Projects (Revitalization Incentive Program) (City of La Grande, Oregon)

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1
“Call for Projects”
(Revitalization Incentive Program)
Funding Application
PROJECTS MUST BE LOCATED WITHIN THE URBAN RENEWAL DISTRICT
Name of Applicant
Date Submitted
Street Address
Telephone Number
Mailing Address (if different from Street Address)
Email
Business Name
Tax ID Number
Building/ Property Owner Contact Information (if different from Applicant)
Building/ Property Address
Is the Property located in the Historic District Y or N Is the Property individually listed on the National Register Y or N
Note: If yes to either, your project may require Landmarks Commission Review and approval before project commences.
Do you plan to provide any new or additional off‐street or off‐site parking as part of your project?
Total project cost
(See attached worksheet)
Estimated start date
Estimated completion date
Amount of Grant Request
Please list any previous Urban Renewal Funding received for this project or the property below:
Façade Program:_$_________________ Date Funding Received: _____________________
Façade Program:_$_________________ Date Funding Received: _____________________
“Call for Projects” (Revitalization Incentive Program):_$_________________ Date Funding Received: _____________________
“Call for Projects” (Revitalization Incentive Program):_$_________________ Date Funding Received: _____________________
Business Development Assistance Program:_$_________________ Date Funding Received: ____________________
2
Your project must address at least one goal from the La Grande Urban Renewal Plan.
Which project(s) and/or goal(s) does your project support and how? Identify in your
answer which of the following goals match your project (up to 300 words per project or goal) Copies of
the entire Plan are available on the City's website:
www.cityoflagrande.org)
Goal 1: Revitalize Downtown
Goal 2: Create High Quality Family Wage Jobs
Goal 3: Retail Development
Goal 4: Housing
3
(60 points possible)
Current use of
Building/Property:_________________________________________________________
______________________________________________________________________
Intended use of Building/Property (if
different):_______________________________________________________________
________________________________________________________________________
Is the property currently vacant?
Y or N
If yes, how long?
___Less than six months
___Less than twelve months
___More than twelve months
Which of the following is the PRIMARY use of
the building/property:
____Traded Sector Business
____Commercial Business (Professional
services, non-retail)
____Retail Business
____Other:____________________________
4
(25 points possible)
Check all that apply:
___Business plan attached
___Licensed Contractor Bids attached (NOT estimates)
___Documents supporting sources of funding attached
___Professional plans or drawings attached
Date Business was established_______________________________________
5
Projected Cost
1. Permitting/Professional Services (eg. Bldg, Elec,
Mech, Plumbing permits, design work, architect)
2. Site Work - (eg. Excavating, backfill, driveway, paving,
parking, surveying, landscape, utilities)
3. Structural Exterior - (eg. Foundation, framing, roof,
trusses, siding, stucco, bricks/mortar)
4. Structural Interior - (eg. Cabinets, drywall, hardware,
doors, windows
5. Mechanical- (eg. HVAC, piping, heating/cooling,
equip, coolers, etc)
**Do not use Commas below
6
Projected Cost
6. Electrical - (eg. Wiring, service, panels, finish work,
fixtures)
7. Plumbing- (eg. Water pipes, sewer, bathrooms,
fixtures)
8. Non-structural/misc costs (eg. Paint, cleaning,
signage,
TOTAL:
0
7
to receive points for project costs: (50 points possible)
Check one:
___Total Project Cost of 500,000+
___Total Project Cost of 400,000
___Total Project Cost of 300,000
___Total Project Cost of 150,000
___Less than 150,000
Cost supported by check one:
___Estimates from licensed contractor
___ Formal bid from licensed contractor
8
(30 points possible)
Private Investments Public Investments (including this request)
__Over $150,000
__Over $150,000
__$125,001 to $150,000
__$125,001 to $150,000
__$100,001 to $125,000
__$100,001 to $125,000
__$75,001 to $100,000
__$75,001 to $100,000
__$50,001 to $75,000
__$50,001 to $75,000
__$25,001 to $50,000
__$25,001 to $50,000
__Less than $25,000
__Less than $25,000
Source and amount of Private Investment Source and amount of Public Investment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL $
TOTAL $
GRAND TOTAL FROM ALL SOURCES $
0
0
0
**Do not use commas above
9
Mitigation, reduction, or removal of blight. Check which ONE of the following best
describes the current condition of the property attach photos of blighted
conditions (30 possible points):
____Potential hazard to environment or public and/or structure is unfit to occupy
___Extensive exterior damage to property, including structural impacts that don’t rise to the level
of unfit of unfit for occupancy
___Combination of exterior and interior damage, deterioration, and/or dilapidation beyond the
purely aesthetic
___Property has been vacant more than five years but no other blight
___Slight damage to exterior of property only
___Damage to interior of property only
Please describe how this project will change the condition of the property by
mitigating, reducing or removing blight (up to 300 words):
10
Please ensure the following items are included with the application
o Historic building photographs (if applicable and located in Historic District)
o Current photos of the building and property
Describe the impact to your project if your project does not receive funding or if
you receive less funding than requested (up to 300 words):
The statements made herein are true and represent an accurate and full disclosure of all appropriate information as of this date. Applicant understands that the
Agency will retain this application and any other information the Agency receives, whether or not this funding request is approved. Applicant understands this
request can become public information; however any financial statements, tax returns, project pro forms and business formation documents will be kept
confidential. Financial projects included as part of the Business Plan will be kept confidential. Applicant agrees to enter into an agreement
with the Agency and to work cooperatively with Government officials on this project, if funded.
A Community Comment that will be provided to the local media and
posted on the City's website at the Agency's discretion. Comments will be
limited to 350 words and will explain the project, why Urban Renewal
Funds should be used to help fund the project, and how Urban Renewal
will benefit the applicant's business.
Applicant signature
Date
11
FOR OFFICE USE ONLY
Where is the property located:
___Inside the La Grande Business and Technology Park
___Inside the Central Business Zone
___Outside the Central Business Zone
Type of project (select all that apply):
Hist. Bldg. Façade Job Creation
Proposed Use allowed in this Zone Y or N
Approvals required:
Landmarks Commission Y or N
Conditional Use Y or N
Site Plan Y or N
Parking
Required
Y
or
N
#
Spaces
Encroachment Permit Required Y or N
Building Permit Required Y or N
District Manager Deems Application Complete Y or N
Date Deemed Complete:
Zoning__________ Legal
Description:_____________________
Bldg. Expansion Restoration/ Repair
Streetscape Other Interior/exterior
New Construction Other (describe at right)
Date Received / /
Current Photos? Y or N
Historic Photos? Y or N N/A
Owner authorization? Y or N
Detailed drawings/ description? Y or N Solid
cost estimates? Y or N
Proposal complete? Y or N
Approved? Y or N
Amount of grant $
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Funding Application Call for Projects (Revitalization Incentive Program) (City of La Grande, Oregon)

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Completed 2 June 2021

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