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APPLICATION AUTHORIZATION FORM <br />TO: Interagency Committee for Outdoor Recreation {EAC) <br />P.O. Box 40917 <br />Olympia, Washington 985040817 <br />FROM: ifittitas County Public Works <br />ADDRESS: 205 W Fifth Ave Room 108 <br />Ellensburg, WA 98928 <br />IAC is hereby requested to consider this application for financial assistance for the outdoor recreation <br />or habitat conservallon project(s) describer) below and to grant funding from such state and federal <br />sources as may be avallable. This application has been prepared with full knowledge of and in <br />compliance with the Instructions contained in IACs Manuals. Further, we agree to cooperate with IAC <br />by furnishing such additional information as may be necessary to execute an IAC Project Agreement <br />and to adhere to all appropriate State and Federal statues governing the grant monies under in the <br />Project Agreement. We are aware that the grant, if approved, will be paid on a reimbursement basis. <br />Project Name(s): <br />99-1039 - Vantage Boat Launch Restroams <br />Project Contact Person: <br />Name: Mr. Paul Bennett <br />Title: Project Manager <br />Telephone # (509) 982-7523 Work - day <br />We certify that to the best9f-aw-�ggwle-d9i8yin this apSJicattka is true and correct. <br />Authorized <br />[a <br />1APPSIGNI.RPT May 3, 1999 Page 1 of 1 <br />