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If the applicationis made on behalf of a partnership,please submit full names with their <br />residence and post office address for a period of six months prior to the date of <br />applicationtogether with the location of principal office or place of business of such <br />corporation. <br />Emergency contact name(s)and phone number(s)that can be contacted during the <br />event: <br />Scott Repp 509 929-1355 <br />Name Phone Number <br />Jo Repp 509 929-4144 <br />Name Phone Number <br />WRITTEN PERMISSIONTO ENTEREVENT SITE <br />I/We hereby permit law enforcement and/or County officials to enter the site for which <br />the Event Application has been granted at the time of the event and up to five days <br />prior to the event for the purposes of inspecting and enforcement of County Code and <br />other applicable laws,and pursuantto my agreement and representationsmade in <br />connection with this Event Application. <br />SWORN STATEMENTOF COMPLIANCE <br />I/We hereby acknowledge that I/We have read Kittitas County Code,have <br />familiarizedmyself with County requirements.I/We agree that either my designated <br />agent or I/we shall be on site at all times and shall be responsible for the operation of <br />the event and for compliance with all legal requirements in connection with this event. <br />I/We understand that failure to comply with the rules,regulations and conditions set <br />forth in Code may be deemed a gross misdemeanor and that drug or narcotics <br />violations are crimes under RCW. <br />Scott Repp <br />Applicant Name (Print)Applicant Signature <br />Jo Repp <br />Applicant Name (Print)Ap cant Sg ature <br />KITTITAS COUNTY COURTHOUSE 205 WEST 5 ,SUITE 108 ELLENSBURG,WA 98926 <br />(509)962-7508 FAX (509)962-7679 <br />www.co.kittitas wa us