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11. Indicate the Estimated Number of Businesses Created/Retained by the Project. j0 <br />Methodology for question 11 is in a narrative attached. <br />12. Indicated the Estimated Number of Jobs Created/Retained by the Project. 10 <br />Methodology for question 11 is in a narrative attached. <br />Submit the original application to: <br />Kittitas County Department of Public Works <br />411 N. Ruby, Suite #1 <br />Ellensburg, Wim. 98920' <br />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 />March 8, 2017 <br />Signature of Official 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 Date <br />Typed or Printed Name <br />