Agenda - 1-3-17 Reg. Meeting - Laserfiche WebLink

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036 PROPERTY OWNER INFORMATION Property Owner Legal Name: Mallard Properties Property Owner Rep Name (First, MI, Last): Duran Johnson (authorized by Property Owner to sign Loan Performance Agreement & Promissory Note) Property Owner Address: 1913 Keller Andrews Road City: Sanford State NC Zip: 27732 Property Owner Phone(s): (919) 356-5386 Email: --uran I cawindslrenm.net Tax Value of Property Before Renovation: $46.400 Date of County's Next Tax Revaluation: Project Building Address: 3301 Industrial Drive City: Sanford State: NC Zip: 27732 Year Building Was Constructed: 1926 # of Months Building Vacant: 5 Sq Ft of Bldg: 30,000 BUSINESS INFORMATION BUSINESS 1 Name Seal It Services Inc. Federal ID Tax # 30-0935507 Business Rep Name (First, MI, Last): Dhavesh Merchant NAICS Code: 31 Business Rep Phone: (919) 451-6293 Business Rep Email: bmaseolirgroup,corr. Check ONE box below for the Industry Type of the Business: ❑ Data & Call Services ❑ Healthcare ® Manufacturing ❑ Processing ❑ Warehouse/Distribution ❑ Professional ❑ Service ❑ Restaurant ❑ Retail ❑ Non -Profit Is the proposed Business a startup? Yes ❑ No ® If NO, how many years in business in NC? Number of Existing Part -Time employees in NC: G Will the Business Provide Benefits? Yes ® No ❑ Number of Existing Full -Time employees in NC: G What % of Health Benefits are Employer Paid? G Average Weekly Wage of the New Full -Time Jobs Number of New Full -Time Jobs Committed 15 Committed? $443.23 (Please use the weekly wage computation to calculate) BUSINESS 2 Name Business Rep Name (First, MI, Last). Business Rep Phcne: Business Rep Email: Check ONE box below for the Industry Type of the Business: Federal ID Tax #: NAICS Code: ❑ Data & Call Services ❑ Healthcare ❑ Manufacturing ❑ Processing ❑ Warehouse/Distribution ❑ Professional ❑ Service ❑ Restaurant ❑ Retail ❑ Non -Profit Is the proposed Business a startup? Yes ❑ No ❑ If NO, how many years in business in NC? Number of Existing Part -Time employees in NC. Will the Business Provide Benefits? Yes ❑ No ❑ Number of Existing Full -Time employees in NC What % of Health Benefits are Employer Paid? o Average Weekly Pay of the New Full -Time Jobs Number of New Full -Time Jobs Committed: Committed? (Please use the weekly wage compulation to calculate) If more than two businesses will locate in the building, copy this page and complete for the additional business(es). Page 12 of 14 Building Reuse Program - North Carolina Department of C3mmerce February I, 2016