2021 13 RESOLUTION - Laserfiche WebLink

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EXHIBIT A continued Submission of this application expressly authorizes the Village of Mayfield to contact the Ohio Environmental Protection Agency to confirm the statements contained within this application including item #5 and to review applicable confidential records. As part of this application, the Property Owner may also be required to directly request from the Ohio Department of Taxation, or complete a waiver form allowing the Ohio Department of Taxation to release specific tax records to the local jurisdiction considering the request. The applicant agrees to supply additional information upon request. The applicant affirmatively covenants that the information contained in and submitted with this application is complete and correct, and is aware of the Ohio Revised Code Sections 9.66(C)(1) and 2921(D)(1). Penalties for falsification could result in forfeiture of all current and future economic development assistance, as well as a fine of not more than $1,000 and / or a term of imprisonment of not more than six months. GLHG Msyfield Holdings LLC 1rAm Name of Property Owner Date A,z,�— Amit Petal, Mansging Member Signature Printed Name and Title ••A copy of this proposal must be forwarded by the Village of Mayfield to the affected Board of Education, along with notice of the meeting date on which the local government will review the proposal. Notice must be given a minimum of fourteen (14) days prior to the scheduled meeting to permit the Board of Education to appear and / or comment before the legislative authorities considering the request. "Attach to Final Community Reinvestment Area Agreement as Exhibit A. "Please note that copies of this proposal must be included in the Final Community Reinvestment Area Agreement and be forwarded to the Ohio Department of Taxation and the Ohio Development Services Agency within fifteen (15) days of final approval. 13