Mechanicsburg Borough: Facade Improvement Grant Application
General Applicant Information
Applicant Name
*
First Name
Last Name
Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Site Address (If different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant Email
*
example@example.com
Does the applicant own the project site property? If no, please provide property owner information below.
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YES
NO
Property Owner Name
First Name
Last Name
Property Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Owner Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Property Owner Email
example@example.com
If the applicant does not own the building, please attach a lease agreement for the property and a signed letter from the property owner authorizing the planned improvements.
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Business Information
Business Name
*
Registered EIN Number:
If applicant does not have an EIN, please explain why and whether or not you are in the process of obtaining one.
Describe your business. Include information such as what your business is, and the products and/or services sold.
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Do you have regular business hours, or are you By Appointment Only?
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Regular Business Hours
By Appointment Only
If you have regular business hours, please list the days and times below:
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Project Information
Project Type
Upload at least 5 BEFORE images of the property
*
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Select all project types that apply to your project:
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Construction, repairs, modifications
Painting
Siding
Lighting, Awnings, fencing, rails
Roofing accents
Storefront Improvements or Conversions
Signage and brackets
Doors, windows, and hardware
Outdoor space improvements (plaza and dining areas, seating, tables, greenery, etc)
Permitting Fees associated with the project
Other - Please Explain
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Project Information
Project Description and Narrative
What is the scope of the project? Please provide as much detail as available such as colors, sizes of products, and materials.
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How will this improvement support your business?
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What are the identifiable and measurable impacts of this project?
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Funding
Why is grant funding needed for your project?
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Budget Spreadsheet: List all products to be purchased under grant request, cost per unit, number of units, and total cost. Total Project Cost should reflect the total of all items in the spreadsheet.
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Rows
Product Name
Cost per Unit
Number of Units
TOTAL
1
2
3
4
5
6
7
8
9
10
TOTAL PROJECT COST
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$USD
Amount of Funding Requested
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$USD - Grant requests may not exceed 80% of the overall project cost
Match Amount
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$USD - Required match is 20% of the total project cost
How will grant funding be utilized? Please explain in detail the cost(s) associated with the project. This should include how you came up with the associated costs for each project item. If your project is beyond the above grant request, please explain the full scope and estimated cost of your project.
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Other funding sources (if applicable). Please list the amount and organization of any other funding sources (such as grants) for this project.
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If requesting more than the $2,500 maximum, please explain the need for additional funding.
What is the anticipated project start date for the project? Please note, projects must be completed by November 1st.
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Upload Cost Estimates, Product Images, and Project Plans/Visions. Applications must be accompanied with cost estimates (For example: Contractor estimates, images from websites for products, etc)
*
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Needs Assessment
If you feel that you are in need of assistance, please provide a detailed narrative stating what assistance you are requesting, why this assistance is needed for your project, and in the case of an in-kind contribution, what contributions will you be utilizing?
Requested needs-based assistance (select all that apply)
Match Waiver: Can be used to waive a portion of or the entirety of the match requirement.
In-Kind Contributions: Can be used in place of a dollar ($) match requirement. Must equal the same value as the match requirement.
What assistance are you requesting, and why is this assistance needed for your project?
If you selected "In Kind Contributions", please describe how you plan to meet the match value.
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How Did You Hear About Us?
How did you hear about the grant program?
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Borough Website
Downtown Mechanicsburg Partnership Website
Social Media
Word of Mouth
Other - Please Explain
Have you previously received funding through this grant program? If so, please list the year, amount, and project title.
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By signing this application, you are certifying that all the above information is true and correct, and you are agreeing to the grant program requirements as well as Borough regulations.
Applicant Signature
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Submit
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