CITY OF NEENAH FACADE GRANT PROGRAM APPLICATION

Community Development Contact Information:
Email: communitydevelopment@neenahwi.gov
Phone: (920) 886-6125

Business Name:

Property Owner Name:

Property Owner Mailing Address:

Address or Location

Contact Person (if different than property owner):

Phone Number

Estimated Cost of Work

Description of work to be completed:

If a drawing or plan detailing the proposed work is available, attach/upload below:

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I hereby certify that all information contained in this application is true and complete to the best of my knowledge and belief. I also acknowledge that I have been made aware of and understand the terms and conditions under which funding assistance may be provided under this program.

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.