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Kittitas County <br />Department of Public Works <br />DISTRESSED COUNTY SALES AND USE TAX INFRASTRUCTURE <br />IMPROVEMENT PROGRAM APPLICATION <br />The Distressed County Sales and Use Tax Infrastructure improvement Program supports <br />Improvements to infrastructure systems that foster economic development in Klttltas County. The <br />goal is to create economic opportunity through Infrastructure Investment, <br />APPLICANT INFORMATION <br />Applicant: <br />Contact Name: <br />Address: <br />Address: <br />City: WA Zip: <br />Telephone: FAX; <br />E-mail Address: <br />Project location: <br />Project Title; <br />Jurisdiction Population: <br />APPLICATION THRESHOLDS <br />Applicant Requirement: <br />Check -off: <br />❑ 1. The project Is Improvement to an infrastructure system(s) linked to economic development <br />❑ Z. A detailed 8 % X 11" vicinity map that clearly shows the project is Included in the <br />application package. <br />❑ 3. Distressed County funds are not being substituted for other funds that are already secured. <br />❑ 4. The project involves traditional improvements, Instead of "non traditional" improvements <br />eligible for "Enhancement" funding <br />❑ S. Applicant has submitted only one application this round. <br />❑ S. The locallreglonal economic development organization has been lnformed of the project. <br />6 <br />