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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 footer economic development In Ki#titas 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 />0 1. The project Is Improvemertto an infrastructure system(n) linked to economic development. <br />❑ 2 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 "Enhancements funding <br />❑ & Applicant has submitted only one application this round. <br />❑ S. The locallregioral economic development organization has been informed of the project. <br />6 <br />