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Sign and Facade Grant Application
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Steps
1.
Step One
This section is complete
This section is incomplete
2.
Step Two
This section is complete
This section is incomplete
Step One
City of Lowell Sign & Facade Application
I. Contact Information
Applicant is:
-- Select One --
Building Owner
Business Owner
Both
Ethnicity
-- Select One --
Hispanic or Latino
Not Hispanic or Latino
Race
-- Select One --
White
Black/African American
Asian
American Indian/Aslaska native Black/African American
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native
Other Multi-Racial:
Applicant's Name
Applicant's Home Address
City
State
ZIP:
If applicant is building owner, does applicant currently own other properties in the City of Lowell?
-- Select One --
Yes
No
If yes, please provide address(es):
Continue
Step Two
Business Information
Business Owner Name:
Business Name:
Business Address:
City:
State:
ZIP:
Business Owner's Contact Phone Number:
Business Owner's Email Address:
Website Address:
Type of Business:
Employer Identification Number:
DUNS #: Do you have a DUNS # for your business?
-- Select One --
Yes
No
a. If YES, please provide the DUNS #:
b. *If you do not have a DUNS # for your business, please request one. A D-U-N-S number is free to obtain. For more information visit: https://dashboard.dnb.com/register. Please note that a business will need to obtain a DUNS # in order to receive assistance through this program or other programs funded through HUD0 Community Development Block Grant Program (CDBG).
Business Structure:
Corporation
Sole Proprietorship
Partnership
Non-Profit
Limited Liability Company (LLC)
How long has business been at current location (Years and Months)
At your current business location, do you:
Rent
Own
Do you have a Lease Agreement in place?
Yes
No
If yes, what's the lease expiration date/lease terms?
How many employees currently work at establishment (including business owner):
Total Full-time:
Total Part-time:
Total Weekly Hours:
Has the applicant(s) been a recipient of any other grant or loan program offered by the City of Lowell, under the Community Development Block Grant Program (CDBG) such as the Downtown Venture Fund, Best Retail Practices, and/or Sign & Facade Program?
-- Select One --
Yes
No
If Yes, Program Name and Date (year):
***IF MORE THAN ONE BUSINESS IS APPLYING, PLEASE SUBMIT A SEPERATE FORM***
II. Project's Description
Projected scope of work (check all the boxes that apply)
Sign Improvements
Facade Improvements
Awning
Lighting
Other Improvements:
Please provide a description of the proposed scope of work to be financed under the Sign & Facade Program as detailed as possible. Please attach photos of the building and existing signage to be replaced:
Upload Photo of Existing Conditions
*
Total Estimated Project Cost:
Total Cost paid by Building Owner*:
Total Cost paid by the business:
Total Grant Request:
Please explain source(s) of funding (i.e. self-funding, loan, refinacing....)
*Please note that the total available funding under this program is $2,000 per project. The owner and/or business is required to contribute with a minimum of 20% towards the total project's cost.
III. Applicant(s) Eligibility
Please provide details below the question if you answer with a YES response.
1. Is the applicant or the co-applicant(s) party to any lawsuit or subject to oustanding judgments?
Yes
No
If YES:
2. Is the applicant or co-applicants presently under indictment or probation or parole, or ever been charged or convicted for any criminal offense other than a minor motor vehicle violation?
Yes
No
If YES:
3. Does the applicant or co-applicant owe property taxes, utilities, or other past due bills to the City of Lowell?
Yes
No
If YES:
4. Has the applicant or co-applicant ever filed personal bankruptcy recently?
Yes
No
If YES:
5. Is the applicant or co-applicant a political party, a campaign, a candidate, a public official or foreign political official or an immediate family member of such official, or a business entity formed by or for the benefit of any public official?
Yes
No
If YES:
6. Is the applicant or co-applicant, an employee of the City of Lowell?
Yes
No
If YES:
Declaration
*
True
I certify that the information on this form is true and accurate to the best of my knowledge. I also understand that the demographic and income information I provided is subject to verification by the Federal Housing & Urban Development Department (HUD).
We'll contact you within five (5) business days to let you know if you have been selected to participate in Lowell’s Sign and Façade Program. If you have any questions, please email DoBizInLowell@lowellma.gov.
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