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If the applicatiom is made an bchalf of a partnex'sldp, please sit f -H manes with their <br />residence and post office address for a period of sax rnortihs prior to the date of <br />application together with the larat'O n of prmcipal office or place of business of such <br />corporation. <br />Emergency c xtWname(s) and pbme mnnbOr(s) &at can be contuted dig the <br />vent~ <br />� o �e--D <br />Name Phone wrail�er <br />Name <br />Phone Nmnber <br />WRrrrW PETiMISSION T'p ENTER EVENT SITE <br />I/ We hereby pernUt law er&rcement and/or Cotmty offClefs to enterthe site for which <br />die EverttApphcattion has been granted at the time Of the event and up to five days <br />prior to the eveztt fiar the penrpvses Ofinspecting and enforcement of C an -ay Code and <br />othex applicable laws, and pursuant to my agreement and rqnmmUd1or.s made m <br />connection with this Event Application. <br />SWORN STATEMENT OF COMPLIANCE <br />I/We hereby acknowledge that '/We have read Kitmas County Code, have <br />familiarized myself W'th County requirmumts- I/We agree -that either my designated <br />agent or I/we shall be on site at all tunes and shall be m-jprn mble For the operation of <br />the event and fear caMiplianae with all legal requirements -m connection wit ails event <br />I/We undem and that failure to comply with the rules, regulations and a mditions set <br />forth m Code may be deemed a gross misdemeanor and that drug or narcotics <br />violations are crimes under RCW. <br />Applicant NAne (Part) <br />ern a e -D Q 1 D� t+rn <br />Applicant Name (Rdht) <br />Applicant Signature 17 <br />pplicarat` Signa e <br />Kn-MASCWMYCOURlE USE- 205WEST3°°, SUrM Ing • %WA98926 <br />(504] 962 -?506 - FAX (509) 9 62-767 9 <br />cr+aw.raidVx�cwans <br />