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9.Has your event received Lodging Tax funds in previous years? <br />Yes No i <br />If yes,please hst each year and the amount received for that year. <br />All appitcants must also provide the foHowing information regarding the event/project: <br />Prior Year ProjectedA.How many partícipants and spectato¢s <br />attended fast year's actMty and/or win <br />attend this year? <br />B.How many days did/will your event occur7 <br />C.How many room nights were and /or will betookedasaresukofyourproject/eventa <br />(vou mun prova«witiate .own of informs tron astvøence•for your respons¢Ioetem C.Fathere to Jose <br />10.AppHeation Certification: <br />The applicant here certifies and affirms:1.That it does not now,nor wlu it during theperformanceofanycontractarisingfromthisapplication,unlawfully discriminateagainstanyemployee,applicant for employment,chent,customer,or other person whomightbenefitfromsaidcontratt,by reason of age,race,color,ethnicity,sex,religion,mlNtary status,sexuat orientation,creed,place of birth,or disabliity;2.That it wiu abidebyaurelevantlocal,state and federal laws and regulations and;3.That it has read theinformationcontainedintheinstructionsonpages1and2andunderstandsandwillcomplywithallprovisionsthereof <br />certified by:(signature) <br />(print name) <br />i i , <br />Date: <br />County-wide tod8tng Tax AppBcation <br />P a ge !12