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2. Applicant Information
4. Applicant Name:*
6. Property Address:*
7. Tax Lot #:*
9. Mailing Address:*
11. Email:*
12. Phone Number:*
14. Have all City of Forest Grove taxes on the building and property been paid to date?*

    1. Yes

    1. No
16. If no, please explain.*
18. Is the City of Forest Grove Business License paid and current? *

    1. Yes

    1. No
19. Business License No.*
21. Is Applicant for Storefront Improvement Program a:*

    1. Property Owner

    1. Tenant
23. Owner Form Upload*

    As an Owner, your application must include a completed

    • notarized Hold Harmless Agreement.

    The Hold Harmless form is required before we can process your application. 

25. Tenant Form Upload*

    As a Tenant, your application must include a completed

    • notarized Hold Harmless Agreement and
    • Owner authorization form. 

    Both forms are required before we can process your application. 

27. Building Information
29. Year Built:*
30. Historic Name(s) if known:
32. Please provide current photos of the building.*
34. Project Information
36. Estimated Project Costs:*
37. Grant Request:*
39. Scope of Work:*

    Describe the scope of work in as much detail as possible. You may also include any design concept drawings. Please explain the reason for the improvements.

41. Design Concept Drawings in available:
43. Certification By Applicant
45. Certify*

    1. I Agree

    The applicant certifies that all information provided in this application given is true and complete to the best of the applicant’s knowledge and belief. The applicant also certifies that they have read and will comply with all program guidelines. If the applicant is not the owner of the property to be rehabilitated, or if the applicant is an organization rather than an individual, the applicant certifies that he/she has the authority to sign and enter into an agreement to perform the proposed work on the building. Evidence of this authority must be attached.

47. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
49. Electronic Signature
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field