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Applicant Certification <br />Certification is hereby given that the infonnation provided is accurate and the applicable attaclnncnts are <br />complete and included as part of the application package. <br />lion thresholds are met at the time of application. <br />( <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 haa received notification of this application as demonstrated by the <br />signature of the organization'• representative. <br />Kittitas County Chamber of Commerce <br />Date <br />Kittitam County Department of Publk Works Receipt of Application <br />Signature of Kittitas County DPW Representative Date <br />Typed or Printed Name <br />10