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2. Economic Development Incentive Application
4. Primary Contact*
5. Title*
7. Business Name*
9. Mailing Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address*
18. Business Industry*
20. Project Description*
22. Proposed Capital Investment ($ amount)*
24. Expected Value of Personal Property (equipment, furniture, vehicles, etc.)*
26. Business is:*
    -- Select One --NewRelocatingExpanding
27. Facility is:*
    -- Select One --NewExistingExisting with substantial remodel
29. Location Address or Legal Description*
31. Expected Commencement of Construction Date
    Expected Commencement of Construction Date
32. Expected Opening Date
    Expected Opening Date
34. What City are you relocating from?
35. Average Full Time Employees (FTEs) Salary*
37. Number of FTEs*
38. Number of Current FTEs*
40. Number of Additional FTEs Due to Expansion/Relocation*
41. Number of Employees to Live in Pueblo West
43. What kind of incentives are you interested in?*
45. Terms

    I hereby confirm the above information provided to the Pueblo West Metropolitan District for the purpose of determining the economic impact is true, accurate and complete. I understand additional information may be requested by the District, if deemed necessary for the discussion of specific types of incentives to further analyze the request. I further understand that the submission of this request does not guarantee the approval of incentives.

47. Signature (type)*
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field