1 938 S Hampton Rd, Glenn Heights, TX 75154-8534 P: (972) 223-1690 F: (972) 230-5560
Project Information Form
1.
Company Information:
Company Name:
Contact Person: Title/Position:
Telephone Number: E-Mail:
2.
Industry:
3.
Company Product/Service:
4.
Project Site Information:
Address/Location:
Existing Building:
New Construction/Expansion or tenant buildout: ___________________________________
Total Size of Project: SF Land Value $
Alternative Project Sites:
5.
Project Description:
Potential Hurdles:
Key Decision Factors:
T 6. Time Frame to Start and Finish Project: ____________________________________
7. Project Financials
Total Capital Investment: $
Is there a financing gap? Yes No
Real Property: $ _____________________
What is the gap? $______________
Business Personal Property: $
Sources of funds:
Equity: ________________________
Sources(s) Bank and Lender Provide Proof of funds or letter of credit, if applicable
Lender 1:
Lender 2:
Other sources:
Gap:
1 938 S Hampton Rd, Glenn Heights, TX 75154-8534 P: (972) 223-1690 F: (972) 230-5560
8. Incentives Request:
Incentive(s) Requested: _Chapter. 380 Agreement ______Impact Fee Waivers
Do you intend to pursue any State Incentives for this project? Yes No If so, what type? ______ __
9. Employment:
Number of Current Employees: New Jobs Created: __________ Jobs Retained:
What types of jobs will these be? ________________________________________________
Average Salary or Wage: $______________ Annual/Hourly
10. Other Needs (define each)
Real Estate: _____________________________________________________________________
Political Issues: ______________________________________________________________________
Zoning: _____________________________________________________________________________
Other: _______________________________________________________________________________
11. Supporting Documents:
Sources & Uses Budget
Development site plan, elevations or floor plan
Business Plan or Operations Summary
12. Next Steps:
Please submit form and supporting documents electronically, by mail or in person to:
MARLON GOFF
ECONOMIC DEVELOPMENT ADMINISTRATOR
City of Glenn Heights, TX
2118 S. Ulh Rd, Glenn Heights, TX 75154
972-223-1690 ext. 455
marlon.goff@glennheightstx.gov
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