Iowa DOT

515-239-1664

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The proposed project is on a

If a Primary Road is involved, indicate the desired RISE funding source.

The proposed project involves

Has any part of this Development or Roadway Project been started?

Is the development area an Iowa Certified Site?

Is the development area an Iowa Certified Site? (2)

Has an application been submitted to the IEDA for the development area to be reviewed and certified as an Iowa Certified Site?

This application is for RISE funding as a

1. Assured?

2. Assured?

3. Assured?

4. Assured?

This roadway project involves

Does the roadway project involve relocation of economic activity from elsewhere in Iowa?

What is the status of the economic development or activity to be supported by the RISE-funded roadway?

Land Assembled and Available for Sale or Lease

Zoning Suitable for Proposed Use

Water

Sanitary Sewer

Sewage Treatment Capacity

Storm Drainage

Electricity

Gas

Telephone

Permits (if applicable)

Labor Force Training (if applicable)

Public Transit, Ride Share availability (for projects expecting 50 employees)

Rail Service

Indicate which groups are impacted positively

Please choose the statement(s) that pertains to this grant application. Complete all the information requested for the chosen statement(s). S

Indicate which groups are negatively impacted

Please choose the statement(s) that pertains to this grant application. Complete all the information requested for the chosen statement(s). S

disregard this

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