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Applicant Information

Title II Compliance
In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit the City of Modesto website.
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Email Address*
Street Address*
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Daytime Phone*
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Business Name
Business Description
Business Street Address*
City*
State*
Zip Code*
Has this business had another physical address in the past?
1. Yes
2. No
Previous Street Address (If Any)
City
State
Zip Code
Weekly Operating Hours (days and times)*
Previous Weekly Operating Hours (If Any)
Weekly Labor Hours*
Previous Weekly Labor Hours (If Any)*
Date Business Hours Expanded*
Date Business Hours Expanded
Move in Date (current location)*
Move in Date (current location)
Modesto Business License Effective Date*
Modesto Business License Effective Date
Business License Number*
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Detailed Facade Restoration Plans
Upload a copy of your detailed Facade Restoration plans showing: before and after elevations, building elements to be removed, building elements to remain and introduction of new building elements.
Evidence of Property Ownership
Upload your Evidence of Property Ownership (e.g., deed, title insurance policy) for your business location.
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Application Submission Acknowledgement
1. I understand that by submitting this application, I am not guaranteed any incentive offering.
Date
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