Downtown Development Grant Application

Supporting documents referenced in this application form:

Application Type:

First Application

Reapplication

Application Date:

Application #: (Internal Use Only)

#1 — Applicant Information

Applicant/Company Name(s):

Contact Name (if different than Applicant):

Applicant Address:

E-Mail Address:

Phone Number: (Primary)

Phone Number: (Alternate)

#2 — Property/Project Information

Property Address:

Legal Description:

Lot:

Block:

Plan:

Is the property located within the defined Program Boundary (as identified as Appendix “A”)?

Yes

No

Does this project align with the definition of New Construction included in the Brownfield Tax Incentive Bylaw C15-22?

Yes

No

Does the project contain a Residential Use that comprises of at least 50% of the total square footage of a building or a structure, and be either of the following:

a) A Mixed-Use Development that creates a minimum of three (3) Dwelling Units located above commercial use occupancy on the ground floor of the building, through either new construction or through conversion of an existing building from an alternate use other than Multi-Unit Residential Development or Mixed-Use Development; or

a)

Yes

No

b) A Multi-Unit Residential Development that creates a minimum of six (6) new Dwelling Units and is at least two (2) storeys through either new construction or through conversion of an existing building from an alternate use other than Multi-Unit Residential Development Mixed-Use Development.

b)

Yes

No

Is the property owned by a government or religious institution?

Yes

No

#3 — Project Information

Project Name:

Project’s estimated capital cost ($CAD):

Project’s estimated construction start date:

Project’s estimated commercial operation date:

Has a Development Permit been issued by the City of Fort Saskatchewan for this project?

Yes

No

Has the construction of the Project commenced?

Yes

No

#4 — Legal and Financial Information

Is/has the applicant, company or venture:

gone through foreclosure?

Yes

No

the Assessed Person, or the authorized agent for the Assessed Person for the subject property?

Yes

No

under a land use enforcement order in accordance with the Municipal Government Act?

Yes

No

obtained or will obtain all necessary City development permits/approvals?

Yes

No

in violation of a City development agreement or of the Safety Code Act?

Yes

No

in arrears or have amounts owing with regard to property tax, utilities, or other fees to the City?

Yes

No

in bankruptcy or receivership?

Yes

No

in compliance with terms and conditions or any grant or other ﬁnance assistance from the City?

Yes

No

provided false information or misrepresented the facts within the application, application process or during the term of the Tax Incentive Agreement?

Yes

No

in compliance with all applicable requirements of the City's Land-Use Bylaw, and other applicable legislation, codes, standards, and bylaws?

Yes

No

involved in litigation with the City?

Yes

No

Provide a detailed explanation, written and graphic, of the Project to be undertaken, a site plan that indicates the location of all existing and proposed structures, and their context (less than 500 words). Additional information may be included under "Appendix B" of the application:

Detailed explanation:

Provide a complete description of the Project including the proposed uses and number of residential units (less than 500 words):

Provide the projected eligible capital cost of the project, detailing eligible expenses that you will be seeking to submit (less than 500 words):

Proof of means confirming financial ability to complete the proposed Project. Such proof may include a grant confirmation, bank statement or letter from lender or other funding source. Additional information can be included under “Appendix B”:

File Upload for Supporting Documents:

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#5 — Application Requirements

I am authorized to bind the corporation under the terms of this application?

Yes

No

If the applicant is not an individual, an agent authorization form or directors’ resolution must be enclosed with this application. Is this authorization enclosed?

Yes

No

N/A

I acknowledge the requirement to comply with the Downtown Development Grants Procedure FIN-015-A.

Yes

No

A Certiﬁcate of Title for the property subject to this application dated within 60 days of the date on the application must be provided. Is the Certiﬁcate of Title enclosed?

Yes

No

Applicant Representative Name:

Title:

Applicant Signature(s):

Clear

Applicant Signature(s):

Clear

Collection and use of information:
This information is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act (Act) and will be used in the management and administration of the City of Fort Saskatchewan’s Downtown Development Incentive program. Information related to this application may be disclosed as permitied or required by the Act. If you have questions or concerns about the collection, use or disclosure of your information, please contact the City’s FOIP Coordinator at 780-992-6200 or 10005-102 Street, Fort Saskatchewan, Alberta, T8L 2C5.

For Internal Use:

Application Review:

Decision:

Approved

Denied

Approval by:

Name:

Title:

Signature:

Date:

Appeal of Decision:
There is no method of appeal for a decision of the Review Committee or the Program Review Officer.

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