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Private Activity Bond Application Applicant Information Name of Applicant: Contact Person: Title: Phone: Email: Applicant Address: Project Description Project Name: Project Address: PAB Amount Requested: Financial Summary Total Estimated Project Cost: Amount to be Financed by PAB: $ Land Acquisition $ Site Development including Infrastructure $ Facility Construction $ Facility Remodel or Reconstruction $ Other (explain) $ Total Percent of aggregate basis covered by PAB: Description of how the project will be financed. In addition to PAB, include amounts that may be requested of the City or the Arvada Housing Authority. Explain why such additional financial support is necessary. ---PAGE BREAK--- Residential Project Information For Sale Project? ☐Condos ☐Townhomes ☐Single Family For Rent Project? ☐Yes ☐No Unit Size Total Number of Units Affordable Housing Units # of Units % of AMI For Sale % of AMI For Rent # Accessible 1 Bedroom 80% 60% 70% 50% 60% 40% 50% 30% 2 Bedroom 80% 60% 70% 50% 60% 40% 50% 30% 3 Bedroom 80% 60% 70% 50% 60% 40% 50% 30% 4+ Bedrooms 80% 60% 70% 50% 60% 40% 50% 30% Restricted to Elderly? ☐Yes ☐No If yes, what is the minimum age restriction? Estimated Rent Levels or Sales Price by Type of Unit Market Units Affordable Units 1 bedroom, 1 bath 1 bedroom, 1.5 baths Other 1 bedroom configuration 2 bedroom, 1 bath 2 bedroom, 2 bath Other 2 bedroom configuration 3 bedroom, 1.5 baths 3 bedroom, 2 baths Other 3 bedroom configuration 4+ bedroom Number of Years Affordable Units will remain affordable: ---PAGE BREAK--- Describe the project: Location, general description, elements to be included, unique aspects to the project, including any amenities or services for residents, present use of Site and/or Existing Structures (if applicable), etc. Describe the developer’s capacity to complete the proposed project within the given timetable and budget. Include previous experience with similar projects. Energy Conservation Features (if any): Describe how the developer fee will be utilized in the project: Describe the project’s timeline, including target dates for: a. Site control b. Zoning, Site Plan and/or Subdivision Approval c. Primary Lender Approval d. LIHTC Allocation e. Close of financing f. Commence Construction/Acquisition/Rehab g. Project completion The City of Arvada strongly suggests that any project developer considering using PABs seek advice of bond counsel prior to submitting an application to determine project eligibility under federal definitions of PABs. The applicant agrees that this development or project will conform with all applicable development, zoning, building, fire, and life safety codes, regulations and procedures of the City of Arvada. Signature of Applicant Date The City of Arvada reserves the right to request additional information as may be necessary to further the selection process. Include as Attachments: ● 10-year project operating proforma ● General location map and Site Plan ● Summary for Project Development Budget ● Sources and Uses of Funds