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If the application is made on behalf of a parhrership, please submit full names with their <br />residence and post office address for a period of six months prior to the date of <br />application together witl'r the location of principal office or place of business of such <br />corporation. <br />Emergency contact name(s) and phone number(s) that can be contacted during the <br />event: <br />Hilarv Huffman 509.899.2002 <br />Name <br />John Jensen <br />violations are crimes under RCW <br />Hilarv Huffman <br />Phone Number <br />425.495.5955 <br />Name Phorle Number <br />WRITTEN PERMISSION TO ENTER EVENT SITE <br />I/INe hereby permit law enforcement andf or County officials to enter the site for which <br />the Event Application has been granted at the time of the event and up to five days <br />prior to the event for the purposes of ir-rspecting and enforcement of County Code and <br />other applicable laws, and pursuant to my agreement and representations made in <br />connection with this Event Application. <br />SWORN STATEMENT OF COMPLIANCE <br />I/We hereby acknowledge that I/We have read Kittitas County Code, have <br />familiarized myself with County requirements. I/We agree that either rny designated <br />agent or If we shall be on site at all times and shall be responsible for the operation of <br />the event and for compliance with all legal requirements in connection with this event. <br />T/We understand that failure to comply with the rules,conditions set <br />forth in Code may be deemed a gross misdemeanor and OI <br />Applicant Name (Print) <br />Applicant Name (Print)Applicant Signature <br />KITTITAS COUNTY COURTIIOUSE ' 205 WEST 5.h, SUITE I08 ELLENSBURG, WA 98926 <br />(509) 962-7508 FAX (so9) 962-7679 <br />www.co. kittitas.wa. us