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Minnesota Department of Employment and Economic Development
Pre-Application

Fields marked with a * are required.

Pre-Applicant Information

Definitions

Applicant: The organization designated as the official project sponsor. The applicant can be a local unit of government, a business, or a development organization.

On behalf of: The organization for which the applicant has prepared the application. For instance, a city may apply on behalf of a business. A county may apply on behalf of very small cities or rural townships within the county.


Section I

*Applicant:

Mailing Address:
*Address 1
Address 2
*City
*State/Prov
*Zip/Postal Code

*On behalf of:

*County:
   
*Legislative District:
   
*Congressional Districts:


Section II

*Contact person is an:
 
*Name:
 
*Title:
 
*Organization:

Mailing Address:
*Address 1
Address 2
*City
*State/Prov
*Zip/Postal Code

*Phone:
   
Fax:

*E-Mail:


Project Description

Generally describe what you want to do for each proposed project (i.e. the improvements you want to make); and include an estimate of the funds. (Use separate pages for multiple projects).


*Name of Community/Applicant:

Project Name:

  

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