Fillable Minor Maintenance Grant Application Form (City of Dallas)

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Minor Maintenance Grant Application Form (City of Dallas)

On average this form takes 8 minutes to complete

The Minor Maintenance Grant Application Form (City of Dallas) form is 2 pages long and contains:

  • 1 signature
  • 4 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Dallas

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Minor Maintenance Grant
Application Form
Phone
Phone
Signature of Building Owner indicating consent for improvements
Official Use Only
Date Rec'd
File No.
Applicant's Name
Complete Address (Subject Property)
Company/Business Name
Complete Mailing Address
Contact Person
Email
Applicant is the Building Owner
Tenant
Building Owner Information (if different from applicant)
Owner's Name
Complete Mailing Address
Contact Person
Email
Project Start Date Anticipated Completion Date
Please provide a general description of the overall project.
–
–
No
Will you be using a contractor for this project? Yes
If yes, please supply the following contractor information:
Contractor's Business Name
Complete Address
Contact Person
Phone
NOTE: Attach a copy of the cost estimate from the contractor, if applicable
–
Please include the following information with your application form:
Photographs clearly showing existing conditions of the area to be improved.
Drawings or sketches showing the proposed maintenance improvement(s).
Exact color samples of paint to be used.
Cost estimate for the project (itemized).
Estimated total budget for proposed project
Total Grant Amount Requested (up to $500)
I agree that the information provided above and within is accurate and correct to the best of my knowledge.
Signature of Applicant Date
Please return completed form to:
City Manager’s Office
187 SE Court Street
Dallas, OR 97338
503-831-3502
sam.kaufmann@dallasor.gov
Form # 11
Last Revised: 09/22/2020
File Location: I:ALL/City Forms
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Minor Maintenance Grant Application Form (City of Dallas)

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Completed 22 January 2021

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