Project Intake Form - City Of Depoe Bay Page 3
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3Proposed Project Financing Worksheet
Estimated Costs (Itemized):
Proposed Sources of Funding:
Status(secured?)
Description
Cost
Cash :
$
Y/N
1
$
Private Loans: $
Y/N
2
$
Commercial Loans: $
Y/N
3
$
State Loan:
$
Y/N
4
$
State Grant:
$
Y/N
5
$
Other (specify): $
Y/N
6
$
7
$
URA Funding Request: $
8
$
9
$
TOTAL COSTS: $
TOTAL FUNDING: $
Have you received URA funding previously? Y or N If yes, state project street address:
Please ensure the following items are included with the completed application form:
Letter of Authorization from Property Owner if Owner is not the Applicant
Current building/property photographs
Detailed written narrative and visual description of the project
Written confirmation that no past-due fines, taxes, fees, or outstanding violation of local ordinances or
permits relating to the property exist
FOR OFFICE USE ONLY
Type of project (select all that apply):
Proposed Use Allowed in this Zone?
Y/N
Building interior
Approvals required:
Building exterior façade
Planning Commission (commercial)
Y/N
Accessibility
Planning Commission-Land Use (ie;CU) Y/N
Streetscape
Parking
Y/N
Infrastructure
Building Permit
Y/N
Building Code compliance
Easement/Encroachment
Y/N
New construction/site development
Design Criteria (URA discretion)
Y/N
Mitigation, reduction, removal of blight
Date Received:
Reviewed By:
Date deemed complete:
Required Items included?
Y/N
Date of URA review meeting:
Approved/Awarded? Y/N
Amount of Grant Awarded:
URA Grant Application
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