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Applicant Certification <br />Certification is hereby given that the information povided is accurate and the applicable <br />attachments am complete and included as part of the application package. <br />I certify that application thresholds are met at the time of application. <br />Sign ture of OfHcial Rep'resentative Date <br />Sponsoring Agency (if Applicable) <br />Signatureof Agency Representative Date <br />Typed or Printed Name Date <br />Associate Economic DevelopmentOrganization Notification <br />The organization listed below has received notification of this applicationasdemonstratedbythesignatureoftheorganization's representative. <br />Kittitas County Chamberof Commerce <br />Na e of Organization <br />Signature sentative Date <br />Kittitas County Departmentof Public Works Receipt of Application <br />Signature of Kittitas County DPW DateRepresentative <br />Typed or Printed Name