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Applicant Certification <br />Certification is hereby given that the infor ration provided is accurate and the applicable attachments are <br />complete and included as part of the application package. <br />1 certify that application thresholds are met at the time of application. <br />11,00KA /S6*'zLw, <br />SE re of Oftial Representative 10 <br />Sponsoring Agency <br />(if Applleable) <br />Signature of Agency Representative <br />Typed or Prlated Name <br />Date <br />Date <br />Date i <br />Associate Economic Development Organization Notification <br />The organization listed below has recehled notification of this project as demoastrattd by the <br />signature of the organization's representstive. <br />Name o Organization <br />r <br />Sign rye of R ive <br />I If's <br />Date <br />Kittitas County Department of Public Works Conceptual Approval <br />Approval of the project feasibility, scope and estimated costs. <br />7"ZLkemgz-�' <br />Signature of Kittit x County DPW Representative <br />A Awlw'- 9 amzs <br />Typed or Printed Name <br />r 15'f <br />Date <br />