Form Center

2. Will Cook Enterprise Zone Project Application

   To be completed for entire Project

4. Part 1 - End User Business Information

   Information about the business user that will occupy the property at the end of the project including contact information for this application.

6. Legal Name of Business to Occupy Completed Project*
8. FEIN*
9. Unemployment Insurance Number*
11. Type Of Business *
13. Business Mailing Address *
15. City*
16. State*
17. Zip*
19. Name of Contact Person for this Application*
20. Contact Phone Number*
22. Contact Email:*
26. Part 2 - Project

    Description of project

28. Project Name*
29. Project Classification*
    -- Select One --CommercialIndustrialRetail
31. Project Description*
33. Project Address (no P.O. boxes)*
35. City*
36. State*
37. Zip*
39. Property Identification Numbers (PINs)*
41. Building Permit Issue Date*
43. Expected Start Date Of Project*
    Expected Start Date Of Project
44. Expected Completion of Project*
    Expected Completion of Project
48. Part 3 - Job Creation

    Employment estimates. "Full-time equivalent job" (FTE) means a job in which the new employee works for the recipient or for a corporation under contract to the recipient at a rate of at least 35 hours per week. A recipient who employs labor or services at a specific site or facility under contract with another may declare one full-time, permanent job for every 1,820 man hours worked per year under that contract. Vacations, paid holidays, and sick time are included in this computation. Overtime is not considered a part of regular hours. [20 ILCS 655/3(i)]

50. Number of FTE Jobs at Business BEFORE the Project*
51. Number of FTE Jobs at Business AFTER Project*
55. Part 4 - Project Costs & Enterprise Zone Administration Fee
57. Estimated Project Total LABOR Cost*
58. Estimated Project Total BUILDING MATERIALS Cost*
60. Please enter 0.5% of the Estimated Project Total Building Material Cost (above)*

    ($200.00 Minimum)

62. Mail Fee to:

    Village of Richton Park
    c/o Enterprise Zone Administrator
    4455 Sauk Trail
    Richton Park, IL 60471

66. Part 5 - Authorization
68. Name of Authorizing Agent*
70. Title & Company *
Leave This Blank:


72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit

* indicates a required field