Required fields are marked with asterisks (*)

Huron East Agri-Business Innovation Program Application Form

To apply to the Huron East Agri-Business Innovation Program, please fill out the form. The applicant must have a pre-consultation with the Community Improvement Program Administrator prior to submitting an application.

Section A: Applicant Information

First and Last Name:

Roll Number (#):

Address of Property:

Mailing Address (if different from address of property):

City/Town:

Postal Code:

Phone Number:

Email Address:

Is the property of historical significance or designated under the Ontario Heritage Act?

Yes

Not Sure

Are you the owner of the property?

Applicant is the owner of the property

Applicant is NOT the owner of the property (please fill out section B)

Section C: Project Details

Type of Project (select all that apply):

Agri-tourism experience

Direct consumer sales

Organic or small-scale farming

Small-scale Food & Beverage Processing

Bioproduct farming

Specialty crops farming

Other

Project Description (please include any sign text, colour(s) and materials as well as the project's economic impact):

Please upload any project drawings, renderings and/or photos. Applicants must provide at least one "before" photo.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Section D: Project Costs

Total Project Cost (not including HST):

Attach Quotes (two quotes are recommended)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Applicant Contribution Towards the Project (not including HST):

Grant Request:

Grant Request as a Percentage of the Total Project Cost:

Section E: Signature of Applicant

Signature of Applicant

Clear

Date (MM/DD/YYYY)

IIn accordance with the Municipal Freedom of Information and Privacy Act, personal information is collected under the authority of the Municipal Act, 2001 and will only be used by the Economic Development Department and the Community Improvement Program Committee for Community Improvement Program purposes. Questions about the collection of the personal information may be addressed to the Clerk at the Municipality of Huron East, 72 Main St. S., P.O. Box 610, Seaforth, ON, N0K 1W0 or (519) 527-0160.

Questions related to the Agri-Business Innovation Program are to be directed to:

Municipality of Huron East, c/o Taralyn Cronin, Economic Development Officer

72 Main St. S. Box. 610 Seaforth, ON N0K1W0

519-527-0160 ext. 36

edo@huroneast.com

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Huron East Agri-Business Innovation Program Application Form