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Green Business Rehabilitation Grant Program

  1. Community Planning & Development Department
  2. Community Planning and Development Department
    Sustainability Division
    12400 NE 8 Avenue
    North Miami FL 33161
  3. Personal Contact Information
  4. U.S Citizen:*
  5. If not, are you a Lawful Permanent Resident Alien?*
  6. Circle One:
  7. Proposed Uses of Funding*
  8. Business/Property Information
  9. How long in Business:
  10. Lease or Own Business Location*
  11. Do you have your landlord’s permission to make the requested grant improvements and/or are your improvements allowed in your current lease agreement?*
  12. Are there any City tax liens filed against the Business Applicant or any Guarantor or Co-applicant?*
  13. Project Information & Grant Request
  14. Required Documents for Funding
  15. Applicants Certification and Electronic Signature Agreement
    By my signature, I (we) certify that I have read and understand the application, criteria and program requirements. I further certify that all of the information I (we) supplied is correct and accurate. All of the owners of the company/organization (regardless of ownership percentage) are aware of this grant and are in full agreement with the business securing financing for this project. My (our) signature(s) represent my (our) agreement to comply with the City of North Miami and the Department of Housing and Urban Development, as it relates to this grant request.

    Each Proprietor, General Partner, Limited Partner and Business Owner, owning 20% or more must sign below. For all Non-Profit Organizations, all guarantors must be approved by Community Planning & Development.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  16. By:
  17. Guarantors:
  18. Leave This Blank:

  19. This field is not part of the form submission.