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2. Minor Facade Improvement Application

   To apply for a reimbursement grant please complete this form

4. Business Contact Information:
6. Business Name*
7. Business Address*
9. Business Description*
11. Full-Time Employees*
12. Part-Time Employees*
13. Business Federal Tax ID Number (EIN)*
17. Project Information:
19. Total Cost of Project*
20. Reimbursement Amount Request*

    Amount can not exceed $2,500

22. Description of Business Costs*

    Description of Business Costs for which reimbursement is requested. Attach invoice/bill from service provider and proof of payment to this application.

26. Applicant Contact Information:
28. Applicant Full Name*
29. Relation to Business*
31. Phone Number*
32. Email Address*
34. Address
36. City
37. State
38. Zip Code
40. Property Owner Name & Phone Number, if different from Business Owner
44. Business Owner is current or following a payment plan on all taxes and fees in the City of Groton and Town of Groton

    1. Yes
    2. No
45. Property Owner is current or following a payment plan on all taxes and fees in the City of Groton and Town of Groton

    1. Yes
    2. No
47. Business Owner is involved in litigation with City of Groton

    1. Yes
    2. No
48. Property Owner is involved in litigation with City of Groton

    1. Yes
    2. No
52. Required Attachments : Please make sure the following are attached to this application
    • Proof of payment for which reimbursement is being requested (receipt from provider of
      services render, etc.).
    • For Business tenants requesting reimbursement, written approval from property owner is required.
    • Insurance policy or certificate of insurance protecting the City of Groton from any loss,
      liability, or damage that may result or accrue from or because of the proposed project.
54. File Upload

    Upload documentation listed in the Required Attachments section above. Maximum of 5 documents. Maximum of 20MB combined documents size. Submissions over 20MB will not be processed. Scan documents rather than take a picture to minimize file size.

56. Need to upload more files?

    1. Yes
    2. No
58. File Upload#2
60. File Upload #3
62. File Upload#4
64. File Upload#5
66. Notes:
    • Direct all questions to the City of Groton Economic Development Specialist, at EconomicDevelopment@cityofgroton-ct.gov
    • The maximum reimbursement request is $2,500 per year/ per business. Reimbursement funds are to be dispersed on a reimbursement basis and the City reserves the right to request and receive any and all documents required to verify the expenditure.
    • An application and required attachments must be complete before staff review. All information will be verified by staff prior to reimbursement review by the Economic Development Commission
    • The City of Groton reserves the right to amend or cancel this application; to modify or waive any requirement,
      condition or other term set forth in this application, including a reduction in the award amount; and to request
      additional information at any time from the applicant.
    • Applications shall be prepared at the sole expense of the applicant and shall not obligate the City of Groton to
      procure any of the services described therein or herein from any applicant.
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

* indicates a required field