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STATE FIRE MANAGEMENT ASSISTANCE APPLICATION DEM - 131 <br />Application ldentifier:State Number: D19-1004 <br />Federal Disaster Number: FM-5253-WA <br />Federal Catalog Number: 97.046 Title: Fire Management Assistance Grants <br />Declaration Date: JulY 10' 2a18 <br />Applicant's FEMA Project Application Num ber: 037-99037-00 <br />Legal Applicant Recipient: <br />Applicant's Name: Kittitas, County of <br />Street Address: 205 W Sth Ave Ste 105 <br />Mailing Address: <br />City: Ellensburg State: WA <br />County: Kittitas <br />Zip Code: 98926-2887 <br />Applicant Agent: <br />Name: Judy Pless <br />Contact Information: <br />phone: 509-962-7502 <br />Tile: Budget Finance Officer Fax:509-962-7687 <br />E-mail: judy.pless@co.kittitas.wa.us <br />Signature: <br />Alternate App <br />Date: June 16,2020 <br />lica ent: <br />Name: Jerry Pettit phone: 509-962-7557 <br />Tile: County Auditor Fax:509-962-7687 <br />E-mail: jerry.pettit@co.kittitas.wa.us <br />Signature Date: June 16,2020 <br />Type of Appli ca nt: <br />A - State <br />B - County <br />C - City <br />D - School District <br />E - Special Purpose District <br />F <br />G <br />H <br />I <br />- Higher Educational lnstitution <br />- lndian Tribe <br />- Private NonProfit <br />- Other (Specify) <br />Enter Appropriate Letter B <br />Congressional District Number: <br />State Legislative District Number: <br />I <br />13 <br />Governor's Authorized Representative: <br />Date: <br />NOTE: Shaded blocks for WA EMD use.