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Applicant Certification <br />Certification is hereby given that the information provided Is accurate and the applicable attachments are complete and <br />Included as part cf the application package. <br />I certify that application thresholds are met at the time of application. <br />Signature of Official Representative <br />Sponsoring Agency <br />(if Applicable) <br />Signature of Agency Representative <br />Date <br />Date <br />Typed or Printed Name pate <br />Associate Economic Development Organization Notification <br />The organization listed below has received notification of this prof ect as demonstrated by the signature of the <br />organization's representative. <br />Name of Organization <br />Signature of Representative Date <br />Kittitas County Department of Public Works Conceptual Approval <br />Approval of the project feasibility, scope and estimated costa, <br />Signature of Klttitas County DPW Representative <br />Typed or Printed Name <br />Date <br />11 <br />