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2015-2016 Rural Grants/Programs Building Reuse Application Form <br />New Application ® Resubmittal ❑ Revised ❑ Application # <br />(For internal use only) <br />Rural Health <br />Vacant Building ® Existing Business Building ❑ Care ❑ <br />GENERAL INFORMATION <br />Legal Name of Local Govt Applicant: Lee County County: Lee Tier # 2 <br />Name of Chief Elected Official: Amy Dalrymple Title: Chair <br />Mailing Address: 408 Summit Drive Street Address: 408 Summit Drive <br />City: Sanford State: NC Zip: 27331 <br />Primary Telephone(s): (919) 718-4605 Fax: (919) 777-9315 <br />Email adai!y-iiple leecoun!ync-aovseaI Federal Tax ID #: 56-60000313 <br />Local Government Contact: <br />Name: John Crumpton <br />Title: Manager <br />Primary Telephone: (919) 718-4605 <br />Email: icrunmlon(a'leecountvnc.aov <br />Agency, Consultant or Engineer Who Will Administer the Grant: <br />Skip Green and Associates, Inc. <br />Mailing Address: 123 Windgate Drive <br />Street Address: 123 Windgate Drive <br />City: Dunn <br />State: NC Zip: 27552 <br />Name: Skip Green <br />Title: President <br />Primary Telephone: (919) 763-0925 <br />Fax: (919) 763-0925 <br />EmailS935i Cvnr_-rr.com <br />Federal Tax ID #: 55-0814776 <br />County Poverty Rate 18.5 County Unemployment Rate: <br />5.7% 2010 Census Population 57,866 <br />(Use the population of the municipality identified in the physical <br />address o,` the project business' property that will be served by <br />the building improvements) <br />PROJECT INFORMATION <br />Project Title. Seal It Building Renovation Project Grant Amount Requested (S): 75,000 <br /># of Bus to be Assisted 1 # of Jobs to be Created: 15 <br />Project Description (provide a brief summary of the project below): <br />Seal It Services has entered into a lease/purchased agreement to relocate its Fort Lauderdale, Florida silicon <br />product manufacturing and distribution facility to a 30,000 sq. ft. building located at 3301 Industrial Drive in Sanford, <br />NC that has been vacant for the past 24 months. Seal It Services' total project investment will be $3,750,000 (5 <br />years). It will create 15 new full-time jobs within 18 months of the grant award. Lee County is requesting a $75,000 <br />Building Reuse grant toward building renovation costs. <br />Has business/property owner ever benefitted from a grant with the <br />Department of Commerce? Yes ❑ No ® If Yes, please explain 7 <br />Page 10 of 14 <br />Building Reuse Program - North Carolina Department of Commerce February 1. 2016 <br />