| APPLICANT TYPE (CHECK ALL THAT APPLY) |
| Property Owner | Sole Business Owner | Property Owner Representative | Business Partner |
| APPLICANT INFORMATION |
Applicant Name Phone number Mailing address Name of business | Email Mobile phone number City, State, Zip City of Roseville business tax certificate number |
How did you learn about this program? |
| PROJECT INFORMATION |
Property address City, State, Zip | Property owner name (as it appears on deed and/or title documents) Note: Property owner approval is required for all program-related designs, and construction activities and materials. |
Project description: |
| PROJECT GOALS (Select all that apply) |
Improve current condition of building/facade Increase security Upgrade landscaping Enhance curb appeal of building Enhance appearance of neighborhood | Restore building's historic architecture Increase business visibility Keep within specified budget Correct Code Compliance violation(s) Other:
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| PROJECT IMPROVEMENTS (Select at least two improvements) |
Awnings Doors Landscaping Lighting Paint | Signs Tile or other decorative material Windows Historic restoration Other:
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| APPLICATION ATTACHMENTS |
Upon finalizing this application, please email the following documents: At least two (2) high-resolution photos of the storefront. One draft copy of proposed elevations Facade Program Cost Table Worksheet: Preliminary budget of materials and estimated City permits fees
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| ACKNOWLEDGEMENT |
By electronically signing and submitting this application, I certify under penalty of perjury that the information provided is true and correct to the best of my knowledge and that the project for which I am applying meets the eligibility requirements set forth in this application package. I understand that the City’s acceptance of this application is for administrative review only and does not constitute an obligation to award a rebate or guarantee funding. I acknowledge that my electronic signature has the same legal force and effect as a handwritten signature and legally binds me to the terms and conditions of this application and any related documents. If I am not the record owner of the property, I affirm that I have been duly authorized by the property owner to submit this application, to act as their agent, and to represent the owner on all matters related to this application, and I will provide proof of such authorization upon request. I consent to the City’s verification of the information provided, to inspections or requests for supporting documentation, and agree to comply with any post approval requirements, including repayment of funds if eligibility is later found to be false or misrepresented. |
Property Owner or Applicant Signature:
| Date:
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