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Applicant Certification <br />Certification is hereby given that the infonnation provided is accurate and the applicable attachments are <br />complete and included as part of the application package. <br />I certify that application thresholds are met at the time of application. <br />of <br />Sponsoring Agency <br />(if Applicable) <br />Signature of Agency Representative <br />Typed or Printed Name <br />Date <br />Date <br />Date <br />Associate Economic Development Organization Notification <br />The organization listed below has received notification of this project as demonstrated by the <br />signature of the organization's representative. <br />�. G. C" bey o f (�mmerce, <br />ame of Organization <br />Il /"16;LD I <br />ignature of re native Date <br />Kittitas County Department of Public Works Conceptual Approval <br />Approval of the project feasibility, scope and estimated costs. <br />Signature of Kittitas County DPW Representative <br />Typed or Printed Name <br />Date <br />14 <br />