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DEC 161981 _ "PDX <br />All applicants inust complete the follo�'%,inn questionnaire and provide <br />the County with the additional information as listed at the end of the <br />questionnaire. <br />1. Name, address, and telephone number of entity that will lease or purchase <br />the project (or borrow the bond proceeds) from the bond issuer: <br />This entity is referred to as the "principal user" of the project for <br />the remainder of this questionnaire. <br />Name, title, address, and telephone number of persons working on the <br />financing for the principal user: <br />2. Form of organization of principal user (check one): corporation <br />partnership sole proprietorship. <br />Is the principal user related to any other organization by more than <br />50% common ownership? If so, indicate name of related organization <br />and relationship. <br />3. Ownership: List all stockholders or partners having 100' or more <br />interest in the principal user. <br />4. If any of the above persons own more than 50:" of the principal user, <br />list all other organizations which are related to the principal user <br />by virtue of such persons having more than a 50% interest in such <br />organizations. <br />5. Location of the project: City Unincorporated Area <br />Street Address (name)-' (if applicable) State <br />6. Project site (land) <br />(a) Indicate approximate size (in acres or square feet) of project site. <br />(b) Are there buildings now on the project site? _yes _ no. <br />(c) Indicate the present use of the project site. <br />(d) Indicate present e:,m er of project site. <br />32 <br />_ M <br />