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Applicant Certification <br />Certification is hereby given that the information provided is accurate and the applicable attachments are complete and <br />included as part of the application package. <br />I certify that application thresholds are met at the time of application. <br />Signature oyOfficlal Kewesentative <br />Sponsoring Agency <br />(If Applicable) <br />Signature of Agency Representative <br />Typed or Printed Name <br />1 !t <br />Date <br />Date <br />Date <br />Associate Economic Development Organization Notification <br />The organization listed below has received notification of this project as demonstrated by the signature of the <br />organization's representative. <br />1-1 i <br />,' C- (f a (1-, 1,4 r I., VIi 7. t. r :° i.c�1"►1 t Vtt's'C <br />Name of Organization <br />Signature ol Representative 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 />Date <br />14 <br />