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If the application is made on behalf of a partnership, please submit dull 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 />corporatnon. <br />Emergency contact name(s) and phone number(s) that can be contacted during the <br />rent , <br />o r� e i <br />Name Phone umber <br />Name <br />Phone Number <br />wRrrrEN PERNIISSION TO ENTER EVENT SrrE <br />I/We hereby pernUtlaw'enforcementand/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 COMIUANCE <br />I/ We hereby aclrnowledge that I/ We have read Kitlitas County Code, have <br />familiarized myself with County requ remprts_ 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 whit this event <br />I/ 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 under RCW. <br />Applicant Na6e Rkint)## <br />Applicant Name " t) <br />Applicant Signature <br />Applicant S' e <br />KTl rf1AS COUNTY COURTHOUSE - 205 WEST 5m, SU1TE 108 - ELLENSBURG, WA 98926 <br />(509) 962-7508 - FAX (509) 962-7679 <br />www w.kitfibS wa.a5 <br />