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Applicant Certification <br />Certification is hereby given that the information provided is accurate and the applicable attachments are <br />compIcte and included as part of the application package. <br />I certify that application dweaholds am met at the time of spplication. <br />Tom !Lafts, Ciencral Manawr t I/6ao19 <br />Signature of Oliicial Rept+eaentative Date <br />Sponsoring Agency <br />(if Applicable) <br />2 <br />Signature of Agency (Representative <br />"A <br />Ty}sed or Printed Name <br />c" ! <br />Date <br />Date <br />Associate Economic Development [)organization Notification <br />The organiratlon listed belay has received notification of this project as demonstrated by the <br />signature of the orpubaatioa's repro rotative. <br />Name of Organization <br />Signature of Representative - - <br />Date <br />Kittitas County Department of Public Works Conceptual Approval <br />Approval of the project feasibility, scope and estimated costa. <br />Signature of Kittitas County DPW Representtaitve <br />Typed or Printed Name <br />Date <br />Is <br />