Required fields are marked with asterisks (*)

Community Improvement Plan (CIP) Private Sector Incentive Application Form

Thank you for your interest in the Community Improvement Plan!

Policy and more information

Name of Registered Business and/or Property Owner

Mailing Address

Telephone Number

Email Address

Address of Subject Property

*Please note: Applicants must be from the actual communities they are applying for.

Roll Number

Are property taxes for the subject property paid to date?

Yes

Are there outstanding orders registered on the subject property?

Yes

Are there any outstanding violations under the fire code?

Yes

Have you consulted with Township Staff on this project?

Yes

Please check which program you are applying for:

Expansion and Diversification of Existing Businesses Grant or Loan

Beautification and Visual Appeal Loan

Housing Development Grant or Loan

New Tourism and Business Activity Grant or Loan

Public Art Grant

Please select the applicable funding tool:

Project Grant

Loan

Funding Amount Requested

Total Project Cost:

Estimated Project Start Date:

Estimated Project Completion Date:

Please describe the scope of work:

Please upload any plans, drawings, or studies.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please upload any photos.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please outline quote/cost results from each respective business:

Please upload quotes or estimates.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please provide any additional comments about your application or project:

I/We hereby apply for a grant and/or loan under this program and agree to abide by the terms and conditions of the program. Without limiting any of the foregoing, I/we understand that the grant and/or loan may be reduced or cancelled if the work is not completed as approved, or if the contractors are not paid. I/We agree to the terms and conditions of the grant and/or loan repayment provisions. I/We hereby certify that the information given herein is true, correct and complete in every respect and understand that the Township reserves the right to verify any information contained herein. I/We, the undersigned, agree that the completed improvements are subject to inspection by Township Officials and will be carried out in accordance with the requirements of the grant and/or loan programs, the Building Code, Fire code and other applicable Township of Lake of Bays by-laws.

Please print name:

Signature of Designated Property Owners or Authorized Signing Officer:

Clear

Date: