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DOT Form 900-031 <br />Revised 01/2020 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Aviation Revitalization Loan Program Application <br />7702 Terminal Street SW <br />Tumwater, Washington 98501-7264 <br />Date of Request <br />1 Applicant <br />Applicant’s Authorized Representative: <br />Name: <br />Title: <br />Address: <br />Address 2: <br />City: State: Zip: <br />Phone: Cell: <br />Email: <br />Federal Tax ID: <br />2 Project to be Managed by: <br />Company: <br />Name: <br />Address: <br />Address 2: <br />City: State: Zip: <br />Phone: Cell: <br />Email: <br />Find your legislative and congressional district at: http://app.leg.wa.gov/districtfinder/ <br />3 Airport:FAA Classification: Legislative District: <br />NPIAS Non-NPIAS State Classification: Congressional District: <br />Enter number of annual commercial equipment enplanement last reported to FAA: General Public Access <br /> Yes No <br />4 <br />No. Project Name and Description Total Project Cost Local Funds <br />State Grant <br />Funds <br />Federal Grant <br />Funds Loan Request <br />5 Does the airport have an up-to-date Master Plan or ALP <br />Narrative Report? Yes No Date: <br />Does the airport have an approved Airport Layout Plan (ALP)? Yes No Date: <br />Was the annual requirement to review and update Airport Information <br />System (AIS) data met for the preceding calendar year? Yes No <br />Does the airport sponsor have policies to reduce greenhouse gas <br />emissions? Yes No <br />If yes, submit a copy of the policies. Submitting copy via: <br />6 Signature of Applicant’s Authorized Representative <br />*Only sign IF printing and submitting original paper document, provide signature here. <br />*IF submitting application electronically (PDF document), Email must be sent directly from airport’s authorized representative. <br />Century West Engineering