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If Property is Not Occupied: <br /> Name of Tenant (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 /> ***************************************************************** <br /> Amount Requested , $ <br /> Facade Restoration Cost $ <br /> Amount of Private Investment <br /> for Interior and Additional <br /> Rehabilitation $ <br /> Architect' s Fee $ <br /> ***************************************************************** <br /> DO NOT COMPLETE THIS PART <br /> Date of DCD Project Presentation to HASC <br /> Date of HASC Recommendation to City Council <br /> Date of Final Approval from City Council <br /> Date of Approval From <br /> Illinois Historic Preservation Agency <br /> AMOUNT APPROVED $ <br /> RETURN TO: Historical and Architectural Sites Commission (HASC) <br /> Department of Community Development <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 <br /> Page 3 of 3 <br />