Application for Weatherization Reimbursement Grant Funds
Please submit all required information to apply for the grant
Business Name
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Business Owner
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First Name
Last Name
Contact Number
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E-mail
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
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Please Select
Restaurant
Bar/Tavern/Lounge
Others, please specify below.
Others
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Is Your Business Currently Open and Operating?
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Yes
No
If Your Business is Not Operating, Please State Why and Plans for Reopening?
Which Grant are You Applying For?
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$1,500 Grant for Restaurant Weatherization Reimbursement
$5,000 Grant for Restaurant Weatherization Reimbursement
What types of eligible costs will you request reimbursement from Hazel Park?
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Outdoor equipment (tent, igloos, propane heaters, picnic tables, sidewalk signs, etc.)
Sanitation equipment and products (foot-operated door pulls, sanitation stations, refill wipes, and other PPE)
Labor costs related to installation of outdoor or sanitation equipment
Technological upgrades to the website or registration with an app to encourage carryout or delivery services.
Please indicate whether you received any previous grants for Oakland County, the City of Hazel Park, Main Street Hazel Park, or any other local government body. *Priority will be given to those businesses who have not received grant funding previously.
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Other Information You Wish To Add
Acknowledgement of Compliance
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By clicking this box, I understand and agree I will comply with all applicable zoning, building codes, ADA requirements, public safety and fire codes and ordinances, and current and future State and County Public Health Orders. Further, the I acknowledge I will be subject to repayment to the City of an amount equal to the grant award funds I received in the event the Application fails to comply with the grant requirements or the grant funds were used in a manner inconsistent with federal or state law.
Documentation Requirements
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By clicking on this box, I understand and agree that the business received the Restaurant Relief Grant funding will provide reports, receipts, invoices and/or any other documentation as requested to demonstrate how the grant funds were used.
Submit Application
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