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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. Interior demolition/site preparation costs as part of a comprehensive renovation project
    2. Permanent building improvements, which have universal functionality
    3. Electrical/wiring improvements conducive to residential use
    4. Plumbing improvements conducive to residential use
    5. Lighting Improvements conducive to residential use

    1. HVAC improvements conducive to residential use
    2. Flooring improvements
    3. Improvements to meet state and local Building, Fire & Life Safety codes.
    4. _____Other (please specify below)
17. Other (please specify below)
19. Please provide the square footage of the project area: *
20. Please provide the square footage of the residential unit to be built/converted*
22. Total Cost of Improvement *
23. Total Project Cost (if different)
25. Incentive Amount Requested *
    Incentive Amount Requested cannot exceed $15.00 per square foot or $25,000 in total, whichever is least. Incentive Amount Requested must be 50% of Total Cost of Improvement or lower.
27. Does the project impact the exterior of the building? *

    1. Yes
    2. No
29. If yes, does the project’s exterior adhere to the Downtown Charlevoix Design Guidelines?

    1. Yes
    2. No
30. Click here to view the Design Guidelines
    Design Guidelines
34. 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.
36. Sketches/Renderings/Layout of Interior/Approved Site Plan *
38. Financial Statements and/or pro-forma, including proof that all property taxes are current, and the building is insured*
40. Itemized cost estimates.*
    At least one contractor quote.
42. All Required Construction, Building, and Zoning Permits*
44. The Applicant certifies and agrees to the terms and conditions set forth in the Program Guidelines*

    1. Yes
    2. No
45. Program Guidelines
    Click here to view the Guidelines
47. 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.
49. Electronic Signature
50. Date & Time
    Date & Time

    Date & Time
52. 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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54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

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