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Applicant Certification <br />C4.Ptl a Is hereby gir�n Vwd.I:he informabon providad 4 ac+cumie and the appOcable attachments are complete and <br />included ae pert of the applicat€on package. <br />raertldY#hat nppllsafvn:threahotdawe met at:ft Yarns of applic*lon. <br />Sigrtature of Official Representative <br />Sponsoring Agency <br />(If AppligsblQ) <br />Signature of Agancy Representm&a <br />Date <br />Typed or Printed Name onto <br />SSOC11te:EconomicDevelopment UrgsaizMtionNo ffiCation <br />The arryyi nbstien lkftd below lien ftablved notification of thin RPP. Rcatfon ae demandmted'by bw glgmtum 01#�: vrganlp�n'e et#Rrgeanlath►� <br />Dame of organtzatfon <br />grratrtna of Represent#ire I��.... " <br />tdW County Department of Public Worla Rmelpt of Application <br />Signature ar Mttk= County i)PIfU Representadve <br />'I'jlped or Printed Hame <br />_ Dote <br />10 <br />