West Columbia Economic Development Corporation

APPLICATION FOR BUSINESS IMPROVEMENT GRANT PROGRAM

Please carefully read the following:

A business may only receive assistance from one of the following programs during the fiscal year (October 1 to September 30). Funding assistance is approved and awarded at the discretion of the West Columbia Economic Development Corporation Board. Funding assistance is distributed as reimbursement after the applicant submits paid receipts for the project. Photographs of the completed project may be required when receipts are submitted.

FACADE IMPROVEMENT SIGN IMPROVEMENT

PROPERTY IMPROVEMENT

Applicant Name:*

Business Name:

Property Address

Mailing Address

Phone

Fax

Other

E-mail address*

Please provide one of the following:

Individual Owner - Recorded DBA Certificate Partnership - Partnership Agreement

Corporation - Articles of Incorporation

Printed Name & Date

Attachments

Copies of paid receipts Photographs of completed work

Other __________________________

INSPECTION

I CERTIFY that I have inspected the project and have found all improvements to be satisfactorily completed in accordance to the approved application and in compliance to any applicable city ordinances.

Inspector's Signature

Printed Name

(Adopted 03/29/2010)