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REVIVE <br />ri+v of en <br />Commercial Property Compliance Assistance Program Application <br />Contractor Information <br />Contractor's <br />Name of Business: �$I LV EQ S%(NS Representative Name: 5/LVe1210 � 5 <br />Address: Phone: <br />Phone: <br />City: lTl Ati�dj State: GA Zip: 92 <br />Email: SIt; A(SAV-51i,ii.L 1;i16SrI►7d.i � .... <br />Type of Business: <br />Tax I D#: <br />California State Contractor's License#: <br />City of Santa Ana Business License# <br />Contractor's Signature - ImprovementE <br />DISCLAIMER: the submittal or infr_.rmatioe hereir does not g--grantee cry award of funding hom the Cty oP <br />Santa Ana or corstitrjte a firarcca: corrmifr^-er; therec=. Gront i„rds are sibiect OcQiicaole feaerol and <br />loco. funding limita'ions ana me City cf Strte Ands erflca-fcn or .arms el glb,'i-y requsernerrs. <br />