Laserfiche WebLink
Applicant Certification <br />Certification is hereby given that the information provided is accurate and the applicable attachments are <br />complete and included as part of the application package. <br />I certify that application thresholds are met at the time of application. <br />T <br />Sponsoring Agency <br />(If Applicable) <br />Signature of Agency Representative <br />Typed or Printed Name <br />rl 115 1 <br />Date <br />Date <br />Date <br />Associate Economic Development Organization Notification <br />The organization listed below has received notification of this application as demonstrated by the <br />signature of the organization's representative. <br />Signature of <br />of Comrnerce <br />6W <br />- 0 5?plle .� <br />Date <br />Mttifns County Department of Public Works Receipt of Application <br />Signature of Rittitas County DPW representative <br />Typed or Painted Name <br />Date <br />12 <br />