Laserfiche WebLink
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 applicaton. <br />Signature of Official Representative <br />Sponsoring Agency <br />(If Applicable) <br />Signature of Agency Representative <br />Typed or Printed dame <br />Date <br />Date <br />Date <br />Associate Economic Development Organization Notification <br />The organization listed below has received notification of this application as demonstrated by the signature of <br />the organization's representative. <br />Hame of Organization <br />Signature of Representative Cate <br />Kittitas County Department of Public Works Receipt of Application <br />Signature of Kittitas County DPW Representative Data <br />Typed or Printed Name <br />10 <br />