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DOWNTOWN SURVEILLANCE CAMERA PROGRAM

UPLAND COMMUNITY REDEVELOPMENT AGENCY DOWNTOWN SURVEILLANCE CAMERA PROGRAM 460 N. Euclid Avenue, Upland, CA 91786 (909) 931-4300

PROGRAM APPLICATION

THE PROGRAM APPLICATION MUST BE APPROVED PRIOR TO THE PURCHASE OF SURVEILLANCE EQUIPMENT AND A PAID INVOICE MUST BE SUBMITTED TO THE UPLAND COMMUNITY REDEVELOPMENT AGENCY WITHIN 45 CALENDAR DAYS UPON POLICE DEPARTMENT APPROVAL OF APPLICATION TO BE ELIGIBLE FOR THE PROGRAM REBATE

Business Name: Property Address: Applicant’s Name: Applicant’s Interest in the Property (e.g., owner, tenant): Mailing Address: Telephone: Home Number Property Owner’s Name(s) (if other than applicant): Mailing Address: Telephone: Home Number A. DECLARATION

I am submitting this Program application pursuant to the Upland Downtown Surveillance Camera Program (“Program”) offered by the Upland Community Redevelopment Agency (“Agency”) and as defined by the Upland Downtown Surveillance Camera Program Policy (“Program Policy”). I have been provided with and have reviewed the Program Policy requirements and have completed the above information for the purpose of obtaining Program assistance. I hereby state and delcare, under penalty of perjury in accordance with the laws of the State of California, that the information provided in this application is true, correct and complete and that I have made no misrepresentations in this application or other related documents, nor have I omitted any pertinent information.

Work Number

Work Number

B. APPLICANT ACKNOWLEDGEMENT

I expressly agree to and understand that: 1. The Program has been established to provide financial assistance to interested persons or entities that have a legal right of occupancy (e.g., owners, tenants) to commercial buildings, located in the Town Center component area of the Merged Redevelopment Project Area (“Eligible Area”), to purchase and install certain security equipment (“Surveillance Equipment”) consistent with the...