LEI Blight & Redevelopment Program Project Intake

*This is not READI 2.0 or LEI Arts & Culture funding. Please note projects must begin construction within two years of award or risk reallocation of funds.

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Project Name *

Project Address *

Primary County *

Counties Impacted *

Select the indicator that best describes your project: *

Partnership
Public
Private

Project Owner *

Name/Company (Project Main Vendor Point of Contact and Company Name)

Project Owner Website / URL *

If available

Project Owner Title *

Email *

Phone Number *

Vendor Tax ID # *

Have you met with your county location's respective LEDO for preliminary discussion? *

*This is required before project submission. LEDO Contacts: Dearborn County – One Dearborn, Mike Perleberg – 513-256-1843 – [email protected]; Franklin County – Franklin County Economic Development Commission, John Palmer – 765-338-8201, [email protected]; Ohio County – City of Rising Sun, Mike Northcutt – 812-438-3324, [email protected] ;Ripley County – Ripley County Economic Development Corporation, Gary Norman – 812-689-4344, [email protected] ;Switzerland County – Switzerland County Economic Development Corporation, Jon Bond – 812-427-9100, [email protected] ;Union County – Union County Development Corporation, Olivia Chewning – 513-280-2838, [email protected]

Select the READI focus area that best describes your project: *

Housing
Growth Infrastructure
Mixed-Use
Family Support Initiatives
Talent supply & education
Innovation & Entrepreneurship
Infrastructure for Jobs
Tourism
Other

Select the project type that best describes your project: *

Adaptive Reuse
Historic Preservation
Other

Is this project located within a designated Indiana Brownfield? *

What status of vacancy is your blighted building(s)? *

>50% vacant
>75% vacant
>1 year or more vacant

*You may check more than one box

Executive Summary *

Please provide a clear project overview including: description of blighted or underutilized property, intended reuse or redevelopment concept, key delivery partners, and intended regional/community impact (2000 characters max)

Project Description/ Press Release *

Please provide a brief description of the project that can be included on the IEDC publications an announcements (750 characters max)

Site Development Plan *

Explain the site development plan.

Status of Preliminary Engineering *

Please describe the current status of the project including any preliminary planning or design work that has been completed to date. These plans must provide enough detail to determine the project’s final scope and estimated costs. (1500 characters max)

Status of Site Control *

(The preliminary engineering or architectural plans must identify any property or easements that will be needed to complete the project. )

Site Development Uploads *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Please provide the supporting attachments for the following: interior and exterior photos of the existing building, detailed architectural/engineering plans, and drawings/ renderings of the proposed development. At a minimum, the Grantee should have a signed option on all required property or signed easement agreements for all property at this stage

Procurement Documentation *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Status of Environmental *

What is the current status of environmental reviews for this project? Are there any known environmental barriers (e.g., wetlands, contamination, endangered species, floodplain, etc.) that could delay project implementation?

Environmental Assessments *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

If applicable please describe how the project contributes to addressing climate change (Infrastructure projects ONLY)

Project Memo *

Drag & Drop Files, Choose Files to Upload

Please provide a memo that contains the following: 1.State the project timeline (start and end dates) (Also specify if work has already started) 2.Indicate how the READI funds will be spent (as detailed in the budget) 3.Note the matching fund partners and amounts 4.Provided on project lead/owner letterhead and signed

Estimated LEI Portion Start Date *

*Projects must begin construction within two years of award or risk of reallocation of funds

Estimated LEI Portion End Date *

Estimated Project Start Date *

*Projects must begin construction within two years of award or risk of reallocation of funds

preliminary this Uploads

Estimated Project End Date *

Project Timeline *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

LEI Dollar Amount Requested *

LEI Funding Request *

Equity
Loan
Grant

Anticipated Match *

Price: $0.00

> 1:1 match required

Match *

Public
Private/Philanthropic

Match Sources *

Commitment Status *

Match Sources

*If needed additional match source

Commitment Status

Match Sources

*If needed additional match source

Commitment Status

Premliminary Budget, Pro-form/cash flow, Match Documentation *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

*See budget template below

Project Impact *

Please provide a detailed summary of the potential end users of the project and how this project fills a community demand (750 characters)

Community Engagement & Outreach *

Describe the community engagement and outreach you have completed as part of the project, including involvement with local governing bodies and organizations. Also explain how the feedback as shaped the project. (Ex: Main Street, Historic Preservation Organizations, Local residents, Planning & Zoning, Economic Development, etc.)

Letters of Local Support *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Ex: Government Support

Please explain how the project meets the goals of the Lilly Endowment, Inc program *

*See goals below

Number of new housing units *

Will this project create new full-time jobs? If yes, how many? *

Average wage per job

Number of new square footage (if applicable)

Estimated Assessed value change *

Other Uploads

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Ex: Historic Designation Documentation, Market or Feasibility Study, etc.

LEI Blight & Redevelopment Program Project Intake

Program Resources

LEI Program Goals

Program Budget Template

LEI Program Timeline/Key Dates