CV Capital Grant Application Note: Must be existing small retail business Business Name* Business Email Address* Enter Email Confirm Email Business Address* Street Address Address Line 2 City ZIP / Postal Code Contact information of operator*Operator Race (per federal guidelines for this federally-funded program, please check box for each that applies):* Caucasian(White) African American(Black) Native Hawaiian/Pacific Islander American Indian/Alaska Native Hispanic Other Number of Employees, please also provide names*Grant amount requested (maximum of $5,000)*Please enter a number from 0 to 5000.Is the owner/operator related to any City of Muskegon Commissioner or other city official?* Yes No Does the business offer retail goods for sale?* Yes No If the business is a restaurant or service industry, are at least 50% of sales generated from retail merchandise (excluding prepared food)?* Yes No Does the business have an executed rental agreement at a rate that does not exceed $12/sf?* Yes No Please describe the extent of the renovations and provide a description of how the revised finished space meets new COVID related guidelines*Please provide receipt of payment of the renovation and proof of finalized building permits.* Drop files here or Select files Accepted file types: pdf, jpg, Max. file size: 20 MB, Max. files: 2. Select up to 2 documents per applicationPlease submit evidence proving the need for financial assistance, such as Profit/Loss Statement or tax return.*Evidence Supporting Documents (PDF allowed)* Drop files here or Select files Accepted file types: pdf, Max. file size: 20 MB, Max. files: 2. Select up to 2 PDF documents per applicationHave you applied for any additional assistance?* Yes No If answered yes above, please describe the types of assistancePlease provide Supporting Documents - (email from source, award letter, etc) [PDF format] Drop files here or Select files Accepted file types: pdf, Max. file size: 20 MB, Max. files: 2. Select up to 2 PDF documents per applicationSmall Retailer Application Guidelines (opens in a new window) I have read and agree to the Small Retailer Rental Assistance Application Guidelines. I also certify that the information provided above is true and accurate. I authorize the City of Muskegon to request additional information needed for verification. Failure to give complete and accurate information may disqualify my application and may result in legal action. Δ
