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IF APPLICANT IS NOT PROPERTY TITLE HOLDER: <br /> Title Holder Name and Address : <br /> (Last/First) Please Print <br /> (Number/Street/Apt . No. ) <br /> (City, State, Zip) <br /> (Phone : Home/Work) <br /> (Signature of Title Holder) <br /> Rehabilitation Proposed for Rental Units? Yes No <br /> Has owner concurrently applied for powntown Rental Rehabilitation <br /> Program? Yes No <br /> Description of Proposed Rehabilitation Work: (Attach continua- <br /> tion sheet (s) , plan and photographs) <br /> ***************************************************************** <br /> If Property is Occupied: <br /> Name of Teriant (s) Name of Business/Other Phone <br /> 1) <br /> 2) <br /> 3) <br /> Type of Jobs to be Created <br /> Number of Jobs to be Created <br /> Page 2 of 3 <br />