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Applicant Certification <br />Certification is hereby given that the information provided is accurate and the applicable attachments aiv <br />complete and included as part of the application package. <br />I certify that application thresholds are met at the time of application. <br />11,W4 ��AL4& <br />Sign Arc of Official Representative <br />Sponsoring Agency <br />(If Applicable) <br />Signature of Agency Representative <br />Typed or Printed Name <br />Date <br />Date <br />Date <br />Associate Economic Deveiiopment Organization Notification <br />The organization listed below has received notification of this project as demonstrated by the <br />signature of the organization's representative. <br />k#-- CO. QwA6r ofGivnerce <br />Name of Organization <br />A70AAMi'- <br />CEO <br />Sign tare of Rep se to ive <br />SIS! <br />Date <br />Kittitas County Department of Public Works Conceptual Approval <br />Approval of the project feasibility, scope and estimated costs. <br />Signature of Kittitas County DPW Representative <br />Typed or Printed Name <br />c7 -l5 -,/e-01- <br />Date <br />