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Which Grant Program Are You Applying For? (Choose All That Apply)

Applicant First Name

Applicant Last Name

Business Name For Which This Application Applies

Project Name

Applicant Mailing Address

City, State, Zip

Phone

Address of Work

Owner of Address Where Work Wll Be Performed:

Age of Building

Age of Roof, If Being Replaced

Type of Work (Itemized With Documented Cost Proposal For Each Work Element) To Be Completed

Total Cost of Work To Be Completed

Amount of Funding Requested By OCDDC to Complete Work

I, the applicant, have read and understand the OCDC Programs noted on this application and agree to abide by the conditions as set forth in those Programs.

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