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<br />T ABLE OF CONTENTS <br /> <br />LOAN APPLICA nON <br /> <br /> <br />( I ) S UBMIIT AL ................ ................... ............... ............................. .................. ........ ...... .............. ......... ........ <br />(2) COMPLETING THE APPLICATION ....................................................................................................... <br /> <br />(3) ASS 1ST ANCE.............................. ........ ....... .................... ..... ................... ...... .... ....... ..... .................... .......... <br /> <br />PART 1- ADMINISTRATIVE INFORMATION <br /> <br />(I) LOCAL GOVERNMENT APPLYING FOR LOAN ................................................................................. <br />(2) A UTHORIZED REPRESENTATIVE ........ ................. .......... ......... ......... ...... ........................ ..................... <br />(3) PRIMARY CONTACT PERSON TO ANSWER QUESTIONS REGARDING THIS APPLICATION... <br />(4) ADDITIONAL PERSON(S) TO RECEIVE COPY OF DEPARTMENT CORRESPONDENCE ............ <br /> <br />(5) PROJECT NUMBER............ ....... ............ ........ ............... ....... ........................ ". ......... ............. ........... ......... <br /> <br />(6) LOAN AGREEMENT DATE......... .......... .................... ................................ .... ....... ..... ...... .... ...... ..... ..... .... <br /> <br />(7) PREA WARD COMPLIANCE ......... ............................. ............. ...... ......... ................ .... .......... ........ ............ <br /> <br />(8) FEDERAL EQUIVALENCY REQUIREMENTS...... .... .... ........... ............ ......... ........ ............ ......... ........... <br />I(A) PRECONSTRUCT ION LOAN INFORMATION <br /> <br /> <br />(9) PRECONSTRUCTION ACTIVITIES ........................................................................................................ <br /> <br />(10) PRECONSTRUCTION LOAN SCHEDULE ............................................................................................. <br />(11) PRECONSTRUCTION LOAN PROJECT COST ...................................................................................... <br /> <br />I(B) CONSTRUCTION LOAN INFORMATION <br /> <br /> <br />( 12 ) CONSTRUCTION ACTIVITIES .......... .... ...... ...................... ................................ ......... ... .......... ...... ......... <br />(13) CONSTRUCTION LOAN PROJECT COSTS ........................................................................................... <br /> <br />PART II - FINANCIAL INFORMATION <br />(I ) PRINCIPAL AMOUNT OF THE LOAN ................................................................................................... <br /> <br />(2) LOAN TERMS AND REPA YMENT......................................................................................................... <br /> <br />(3) LOAN REPAYMENT RESERVE .................................. ............................................................................ <br /> <br />( 4) INFORMATION ON LIENS ............................................................ .................................. ........................ <br />(5) ACTUAL AND PROJECTED REVENUES .............................................................................................. <br />(6) LEGAL OPINION ON THE A V AILABILITY OF PLEDGED REVENUES........................................... <br />(7) INSTRUCTION TO LIST ATTACHMENTS............... ..................... ... ... ......... ......... ......... <br /> <br />(8) LOAN SERVICE FEE... ...... ............... ... ......... ..................... ...... ............... ......... ... ... <br /> <br />PART III - APPLICANT ASSURANCES AND CERTIFICATION <br /> <br /> <br />( 1 ) RESO L UTI ON .... ............. ... ......... ............... .......... ...... ... ......... ....... ........... ..... ........... ......... ..... ..... .... ........... <br />(2) ASS URAN CES AND CER TIFI CA TI ON ............... ....... ................... .... ...... ......... ....... ........... .............. ...... <br /> <br />SCHEDULES <br /> <br />(I) SCHEDULE OF PRIOR AND PARITY LIENS ........................................................................................ <br />(2) SCHEDULE OF ACTUAL REVENUES AND DEBT COVERAGE FOR <br />WATER AND SEWER SYSTEM PLEDGED REVENUE .................................................................. <br />(3) SCHEDULE OF PROJECTED REVENUES AND DEBT COVERAGE FOR <br />WATER AND SEWER SYSTEM PLEDGED REVENUE .................................................................. <br /> <br />LIST OF ATTACHMENTS................... ................ ....................... ......... .... ... .............. ............ ........ ....... .................. <br /> <br />Page <br />Number <br /> <br />1 <br /> <br />1 <br />I <br />2 <br />2 <br />2 <br />2 <br />2 <br /> <br />2 <br /> <br />2 <br />3 <br /> <br />3 <br />3 <br /> <br />4 <br /> <br />4 <br />4 <br />4 <br />5 <br />5 <br />5 <br />5 <br /> <br />5 <br /> <br />5 <br /> <br />8 <br /> <br />9 <br /> <br />10 <br /> <br />11 <br /> <br />DEP Form 62-503.900(2) <br /> <br />Effective Date 07-01-99 <br />