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2. Applicant Information
4. Name
6. Address
8. Email Address
10. Phone Number
14. Business Information
16. Name
18. Address
20. Business Website
22. Phone Number
26. Financial Information
28. Total Project Cost
29. Grant Funds Requested
31. Please specify how the grant funds will be used:
35. Please answer the following questions:
37. 1. How is your project an innovative solution that addresses the needs of small business?
39. 2. How does your project spur private investment?
41. 3. How many jobs are being created or retained by your project?
43. 4. What is the benefit of your project and how will it impact the community?
45. 5. Describe how your project contributes to the vision of Davidson as a regional business hub.
47. 6. Describe how your project contributes to downtown Davidson as a regional shopping/dining destination.
51. In addition to answering the questions above, please upload the following:
53. 1. Project business plan
54. 2. Project marketing plan
56. 3. Building and/or site plans
57. 4. Timeline for project's implementation
59. 5. Project budget, including how the grant funds will be used
63. A local grantee shall agree to release, indemnify and hold the Town of Davidson harmless with respect to any Davidson Main Street Business Grant. Additionally, grantees are required to ensure compliance with all applicable laws, rules, regulations, requirements, and policies. Such requirements apply to all Project activities, whether or not the work is performed by the grantee or some other third party and whether or not Grant funds have been awarded or distributed to any third parties or sub- recipients. To the extent the applicable laws, rules, policies or requirements are not followed (including, but not limited to representations made by a grantee in its application), the Town can take a variety of corrective actions. Among other things, this includes the right of the Town to (1) withhold or deny reimbursement of the full amount of the Grant to the grantee where there is noncompliance with any applicable law, rule, policy, or requirement (even when such noncompliance is the result of a third party’s action) and/or (2) require the grantee to repay all or part of a Grant where improper use of the funds or non-compliance with any law, rule, regulation or requirement has occurred.
67. Do you agree to use the funding provided by the Town of Davidson for the function described in your application and that you have met all the grant requirements?
    -- Select One --YesNo
69. Signature
70. Date submitted
74. Date reviewed
76. Points awarded
78. Grant funds awarded
80. Grant funds distributed
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82. 1. Receive an email copy of this form.
83. Email address

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84. Submit

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