Project information Project name
Project address
APN number
Project description
Planning entitlement number
Building permit number
Construction start and end dates (approximate)
Total project cost
Applicant's private investment amount towards the project (shall be a minimum of 25% of the overall project budget)
Total credit requested (note: not to exceed 2% of total project costs)
Applicant Information Applicant Name
Address
Phone Number
Email
Company Name
City, State, Zip
Application submittal requirements:
1. Program Guidelines Evaluation and 2. Fee estimate request (Commercial or Multi Family Residential)
Program Guidelines Evaluation (Select all that apply) 1. Project is located on an underutilized property which has not been developed to its maximum potential with a floor area ratio (FAR) of under 30%. Such properties may either include some developed area and some area that remains undeveloped or may be developed with a building and improvements that are not heavily used, such as large parking lots that typically have few parked cars.
Existing (FAR)
Proposed FAR
For residential or mixed-use development, proposed number of residential units (minimum of 10 units required)
PROJECT COMPLIES WITH AT LEAST ONE OF THE PROGRAM GOALS: 1. Enhance economic vitality and encourage reinvestment by:
Job Creation/Retention: Projects shall create or retain at least 5 full time equivalent (FTE) jobs paid at least 100% of the current County annual average wage (see U.S. Bureau of Labor Statistics for annual wage). Number of FTE:
Sales Tax: The project is anticipated to generate at least $1 million in annual taxable sales. Amount of taxable sales:
Commercial Reinvestment and Redevelopment: Projects shall update, repair, improve, and redevelop existing buildings and underutilized sites. Projects shall improve a minimum of 25% of the property, which can include structures and site improvements. Percent of property to be improved:
2. Promote mixed-use development and housing:
Mixed-Use Development: Projects that incorporate a mix of commercial and residential uses to create vibrant, walkable environments will be prioritized. Mixed use developments shall provide a density of a minimum of 25 housing units per acre and provide adequate square footage to support commercial uses that are neighborhood serving.
Proposed density
Housing Opportunities: Projects should provide diverse housing options including multifamily and affordable housing development consistent with the specific plan, at densities of a minimum of 25 housing units per acre. Projects that provide a minimum of 20% of the units as affordable shall be prioritized.
Proposed number of units
Proposed number of affordable units
Number of very low
Number of low
Acknowledgement By electronically signing and submitting this application, I certify under penalty of perjury that the information provided is true and correct to the best of my knowledge and that the project for which I am applying meets the eligibility requirements set forth in this application package. I understand that the City’s acceptance of this application is for administrative review only and does not constitute an obligation to award a rebate, credit, or guarantee funding. Nothing herein constitutes any other approval or acceptance related to the project. I acknowledge that my electronic signature has the same legal force and effect as a handwritten signature and legally binds me and the project to the terms and conditions of this application and any related program documents or requirements. If I am not the record owner of the property, I affirm that I have been duly authorized by the property owner to submit this application, to act as their agent, and to represent and bind the owner on all matters related to this application, and I will provide proof of such authorization upon request. I consent to the City’s verification of the information provided, to inspections or requests for supporting documentation, and agree to comply with any post approval requirements, including repayment of funds, or portions thereof, if eligibility is later found to be false, lacking, or misrepresented. I, and the owner, if different, inclusive of our affiliates, agents, employees, and representatives, agree to be solely responsible for maintaining eligibility and ensuring the value of fee credits/rebates/or otherwise provided hereby, if any, stay under 2% of total project costs (pursuant to Labor Code Section 1720); and will defend, indemnify, and hold the City and its employees, officials, agents, and representatives, harmless from any claims, actions, determinations, findings, orders, judgements, or otherwise, related to fee credits/rebates/or otherwise and prevailing wages or any other State of California or federal requirement, including project registration and payroll requirements, or otherwise, with such obligations being interpreted as broadly as permitted by law. Nothing herein makes any project a joint venture or the parties joint employers, and the City, applicant and owner, inclusive to and of all of each of their affiliates, officials, agents, employees and representatives, are and shall remain at all times distinct separate parties. Funding is limited and there is no guarantee of credit/rebate, even if eligibility is met. The allocation and application of credits/rebates is in the sole discretion of the City of Roseville.
Applicant signature*
Date*