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REVIVE <br />r _ City o#,Santa Ananor <br />_ <br />rm,�_� Planin aifid:.Build"Agency <br />Commercial Property Compliance Assistance Program Application <br />Contractor Information <br />Contractor's <br />Name of Business: Representative Name: <br />Address: Phone: <br />Citv: State: <br />Type of Business: <br />Tax ID#: <br />California State Contractor's License#: <br />City of Santa Ana Business License# <br />Contractor's Signature - Improvements Approved <br />Citation: <br />Citation: <br />Citation: <br />Citation: <br />Citation: <br />Fm <br />Outstanding Violations (if applicable) <br />Date of Citation: <br />Date of Citation: <br />Date of Citation: <br />Date of Citation: <br />Date of Citation: <br />If additional space is needed, please attach a separate complete list of all citations and dates of <br />citations. <br />DISCLAIMER: The submittal of information herein does not guarantee any award of funding from the City of Page 119 <br />Santa Ana or constitute a financial commitment thereof. Grant funds are subject to applicable federal and <br />local funding limitations and the City of Santa Ana's verification of various eligibility requirements. <br />