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2. First Name*
3. Last Name*
5. Project Address*
7. Mailing Address*
9. City
10. State
11. Zip Code
13. Summary of project and work for which grant is requested (attach separately more space is needed): *
15. Improvements planned (check all that apply):*

    1. Exterior brick or wall surface cleaning
    2. Re-pointing of brick mortar joints
    3. Patching and painting of walls
    4. Window and/or door repair or replacement
    5. Cornice repair or replacement
    6. Other exterior improvements of a structural nature
    7. Exterior lighting

    1. Business signage
    2. Awnings
    3. HVAC system relocation
    4. Trash receptacle screening
    5. Interior alterations related to creating a secondary customer entrance
    6. _____Other (please specify below)
17. Other (please specify below)
19. Total Cost of Improvement *
20. Total Project Cost (if different)
22. Incentive Amount Requested *
    Incentive Amount Requested cannot exceed 50% of the project cost or $5,000 in total, whichever is least.
24. Does the project’s exterior adhere to the Downtown Charlevoix Design Guidelines?

    1. Yes
    2. No
25. Click here to view the Design Guidelines
    Design Guidelines
29. The following information must be submitted with your application:
    If you need assistance with this, please call 231-547-3257. It is helpful if you can combine files into one PDF for each section/upload below.
31. Sketches/Renderings of proposed improvements*
33. Proof of project funding*
35. Itemized cost estimates.*
    At least one contractor quote.
37. Current Condition/"Before" Photos*
39. The Applicant certifies and agrees to the terms and conditions set forth in the Program Guidelines*

    1. Yes
    2. No
40. Program Guidelines
    Click here to view the Guidelines
42. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
44. Electronic Signature
45. Date & Time
    Date & Time

    Date & Time
47. RIGHTS RESERVED
    The Charlevoix DDA reserves the right to reject any and all applications. The specific program guidelines herein are subject to revision or amendment by the DDA Board of Directors. The DDA may discontinue this program at any time.
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49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit Submit and Print

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