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SOUTH BEND CLEANUP REVOLVING LOAN FUND* <br />PRELIMINARY APPLICATION <br />Submit Completed Application to: <br />City of South Bend <br />Department of Community & Economic Development <br />227 West Jefferson Boulevard, Suite 1200 <br />South Bend, IN 46601 <br />Checklist for Application Submittal <br />Indicate those items you I:ave attached: <br />Project Summary -Provide the following information necessary for the City to <br />determine the cleanup eligibility and fiscal viability of the project, including: <br />• Detailed description of the proposed project including the type and size of <br />development and estimated project cost <br />• Preliminary Site Plan <br />• Certification of Available Assets for the Project from a Certified Public <br />Accountant or other designated party <br />• Other information necessary to determine cleanup eligibility and fiscal viability <br />Summary of Environmental Investigations <br />Preliminary Cleanup Plan <br />Address of Site and Site Map <br />Evidence of Site Ownership or Control <br />Ownership History of Site (40 years) <br />*The South Bend Cleanup Revolving Loan Fund (CRLF) is funded by a U.S. <br />Environmental Protection Agency (USEPA) Initiative. <br />-1- <br />