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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 />Signature of Agency RepresentatIve <br />Roh.erf 6ma~ <br />Typed or Printed Name <br />Sponsoring Agency =f ~Iicabl.) . I <br />6'-15-I~ <br />Date <br />IE, lOll:, <br />Date <br />Date <br />Assodate Economic Development Organization Notification <br />Kittitas County Department of Public Works Conceptual Approval <br />Signature of Kittitas County DPW Representative Date <br />Typed or Printed Name <br />14