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3f the application is made on behalf of a whip, please exit full names with titer <br />residence and post office adds for a period of six manths prior to the date of <br />application tavgether with the locabon of primcgml offim or place of bumness of such <br />corporation. <br />event even genuy c0nh1ctname(5) and phone number(s) that can be conbwbed during the <br />G►. 1. :7, <br />rr <br />.rr <br />r1+r . <br />Vol! <br />1.. i <br />iY#€:1s_J=i.�;�1't�� . [• 7. Yli�l' ��: �r. <br />I/We hereby permltlaw enfameement and/or Cdunty, aH&jais txa enter the site f+0r whirh <br />the Event Application Ives been granted atthe time of the event and up tan five days <br />prior too the event for the purposes of inspectung and enfi=mnentof County Code and <br />other applicable laws, and pursuant to my agreement and xepresentati ons made M <br />connection with this Event AppluatiorL <br />SWORN STATEMENT OF COM7LUNCE <br />I/We hereby admowledge that I/We have read Mttnfas <br />with Co€m County Code, have <br />myw1f ty . l/We agree that either my designated. <br />agent or I/we shall be on site at all times and shall he responsible f6r the operation of <br />the event and for compliance with an legal requirements in omwecflon with this event, <br />I/ We understand that tb comply with the ruler regulations and conditions set <br />forth in Code may be deemed a gross misdemewmw and that drag or narcotics <br />violations are crines under RCW. <br />5-1 <br />r a vcrr it rrr r r �rmum <br />441 114r is <br />Jo R--qDI2 <br />Applicant Name (Prhd) <br />• r � „� .r it . <br />M7NM COUfffy CC UR7 FOM - 206 WEST Y', SUIM log • ffi I WA 98826 <br />iM 94M-7= - FAX (sag} 9Q,76n <br />VAVW _K_jMUs <br />