NEGOTIATED SALE OF REDEVELOPMENT PROJECT AREA PROPERTIES

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NEOTIATED SALE OF REDEVELOPMENT PROJECT AREA PROPERTIES Application Form Rahm Emanuel, Mayor CITY OF CHICAO Department of Planning and Development David Reifman, Commissioner

Application for Purchase of Redevelopment Project Area Property Please return the completed application and supporting documentation to: City of Chicago Department of Planning and Development 121 North LaSalle Street, Room 1000 Chicago, IL 60602 (312) 744-2777 I. Property Identification 1. Provide the street address of the property to be purchased below: 2. Provide the property s PIN numbers (tax parcel identification numbers) if known. 3. Current Use of Property: Vacant Land Improved with Building 4. Property Type: Commercial Industrial Residential Mixed-Use Other 5. Land Area: square feet 6. Current Zoning Designation: 7. Redevelopment Area or TIF District II. Applicant Information 8. Name of Applicant: 9. Business Name and Address: 10. Phone Number: 11. Fax Number: 12. E-Mail Address: Application Page 1 of 6

13. Type of Business Entity: Individual Sole Proprietorship Nonprofit Corporation For-Profit Corporation Partnership Limited Liability Company 14. Name, address, and phone numbers of other persons or entities having an ownership interest in the applicant business entity: 15. Provide a descri ption of y our real estate development experience. Be sure to list any past or present development projects that involved the sale of City land or that included City financial assistance. If you propose residential or mixed-use development of the property, indicate if you are a l icensed Residential Developer and provide a copy of the license. Attach additional sheets if necessary. III. Purchase and Redevelopment Proposal 16. Proposed Purchase Price: Market Value as determined by City-ordered appraisal; or Stated Price: $ 17. Do you own or control an adjacent property? If so, identify the property by address and PIN, describe your interest, and describe its current use: Application Page 2 of 6

18. Type of Redevelopment Proposal: Commercial/Retail Multi-Family Residential Single Family/Townhouses Industrial Institutional/Non-Profit Accessory Parking/Open Space Mixed-Use Other 19. Project Narrative: Write a brief description of the project. Be as specific as possible about timing, scope of work, intended end-users of property, type of construction and financing. If you own or control an adjacent property, describe how the City p arcel will co ntribute to the overall project. Attach additional sheets if necessary. 20. Building Area: Existing Building Area: Proposed New Construction or Addition: Total After Completion: square feet square feet square feet 21. Unit Breakdown For Residential or Mixed-Use Projects: Unit No. of No. of Avg. Unit Avg. Rent Avg. Price Type Units Bedrooms Size-sf if Apts. if For-Sale A $ $ B $ $ C $ $ D $ $ E $ $ TOTAL: AV: $ $ Identify the units, if any, that are deemed affordable under the City s affordable housing ordinance (list unit types):. Do the affordable unit prices or rents include parking? Yes No List which utilities are included in the affordable unit rent (all utilities, heat only, no utilities):. Application Page 3 of 6

22. Attach conceptual site plans, floor plans, and front elevation to illustrate the proposed redevelopment project and site improvements. 23. Job Retention/Creation: List the projected number of part-time jobs and full-time jobs at the project after completion, if applicable. Jobs Retained Jobs Created Total Jobs Full Time Employees: Part Time Employees: 24. Identify the public benefits, if any, to be created by the project. Affordable Rental Housing Affordable For-Sale Housing New Retail in Underserved Area New or Retained Jobs Cultural or Social Services Fiscal Benefits Innovative Environmental Features Other 25. Describe the public benefits. Be as specific as possible regarding number and type of affordable housing units, affordability levels, type of new and retained jobs, number of temporary construction jobs, type of new retail services proposed, and type of innovative environmental features (such as a green roof). Attach additional sheets if necessary. 26. Are you requesting government assistance in the form of a purchase price reduction, TIF funds, facade rebate, property tax abatement, City infrastructure improvements, street or alley vacation, bond or loan financing, or other economic benefits? Yes No If yes, describe the type and amount of assistance requested: 27. Provide sources and uses of funds, construction pro-forma and revenue projections as indicated in Attachment A. Application Page 4 of 6

IV. Signature I, the undersigned, affirm that the project descriptions, numerical and financial estimates, and all other information I have provided in this application are true and complete to the best of my knowledge. I have read and understood the requirements described in the overview, application, and at tachments including the Construction Monitoring Requirements. Furthermore, I certify that I am authorized to initiate the application process on behalf of the project described. I understand that I cannot change the description of the redevelopment project or the identity of the purchasing entity included in this application without DPD s consent. I understand that I must demonstrate to the satisfaction of the department the ability of the purchasi ng entity to com plete the proposed project. I understand that all docum ents submitted on behalf of this application become the property of the City of Chicago. Signed, Title: Date: Application Page 5 of 6

Submission Checklist Initial Submission Requirements Application Form Sources and Uses of Funds, Construction Pro-Forma, and Revenue Projections (Attachment A) Conceptual Site Plan, Floor Plans, and Front Elevation Economic Disclosure Statement (Attachment B) Principal Profiles (Attachment C) Submissions Required Prior to CDC Applicant s Financial Statement Organizational and Operating Documents of Purchasing Entity Copy of Residential Developer license (if proposed project includes residential use) Letter of Interest From Financing Sources (if project is to be bank financed) Copies of Notification Letters to be Sent to M/WBE Contractor s Associations (Attachment D) Needs Assessment Form to be Submitted to DPD's Workforce Solutions Division (if applicable, Attachment E) Preliminary Site Plan, Floor Plans, Elevations, and Rendering Letter of Support from the local Alderman Submissions Required Prior to City Council Offer to Purchase and ood Faith Deposit (Attachment F) Detailed Project Budget (including M/WBE project budget if applicable) Current Financial Statement Submissions Required Prior to Closing Proof of Equity and Lender Financing Copies of Building Permits and Zoning Approval Any Other Customary Legal Documents Informational Attachments Sample Redevelopment Agreement City of Chicago Affordable Housing uidelines Redevelopment Area Plan (provided upon request) Application Page 6 of 6