Laserfiche WebLink
If the application is made on behalf of a partnership, please submit full names with their <br />residence and post office address for a period of six months prior to the date of <br />application together with the location of principal office or place of business of such <br />corporation. BUDu Racing.. LLC (same address) <br />Emergency contact name(s) and phone number(s) that can be contacted during the <br />event: <br />Deanna Muller 206-920-3983 <br />Name Phone Number <br />Rory Muller 253-334-4433 <br />Name Phone Number <br />WRITTEN PERMISSION TO ENTER EVENT SITE <br />I/We hereby permit law enforcement and/or County officials to enter the site for which <br />the Event Application has been granted at the time of the event and up to five days <br />prior to the event for the purposes of inspecting and enforcement of County Code and <br />other applicable laws, and pursuant to my agreement and representations made in <br />connection with this Event Application. <br />SWORN STATEMENT OF COMPLIANCE <br />I/ We hereby acknowledge that I/ We have read Kittitas County Code, have <br />familiarized myself with County requirements. I/ We agree that either my designated <br />agent or I/ we shall be on site at all times and shall be responsible for the operation of <br />the event and for compliance with all legal requirements in connection with this event. <br />]/We understand that failure to comply with the rules, regulations and conditions set <br />forth in Code may be deemed a gross misdemeanor and that drug or narcotics <br />violations are crimes Linder RCW. 1 nn S fl <br />Deanna Muller '1 <br />Applicant Name (Print) Applicant Signature <br />Applicant Name (Print) Applicant Signature <br />K I I"['I f As COUNTY COUR'THOUSG - 2051Ntis'.f 5" , SUITF' 108 L?l L?NSBURG- WA 98926 <br />(509) 962-7508 - FA -X(509)962 -7o79 <br />www,co,killbl ,,wa IS <br />