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Applicant Certification <br />Certification is hereby given that the information provided is accurate and the applicable attachments are complete and <br />included as part of the application package. <br />I certify that application t~resholds are met at the time of application. <br />Signature of Agency Representative <br />Typed or Printed Name <br />Sponsoring Agency <br />(If Applicable) <br />Date <br />Date <br />Date <br />Associate Economic Development Organization Notification <br />The organization listed below has received notification of this project as demonstrated by the signature of the <br />organization's representative. <br />16',±b+o& Cru~ CA1?w b<¥' of ~WlU6e.. <br />Name of O<gan;zatlon '-'-4 I s~~sf.4t;~ -::o:::-a~~~'f-!/:..-4Yfu..Z.J,ollp~------ <br />Kittitas County Department of Public Works Conceptual Approval <br />Approval of the project feasibility, scope and estimated costs. <br />Signature of Kittitas County DPW Representative Date <br />Typed or Printed Name <br />14