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Applicant Certification <br />Certification is hereby giveir that the information provided is accurate and the applicable attachments are <br />complete and included as part of the application package. <br />I certifi that application thresholds are met at the time of application. <br />C/ED ela6lael <br />Signafure of Date <br />Sponcoring Agency <br />(If Applicable) <br />fia <br />Slgnature of Agency Representative Date <br />Typed or PrlntedName Date <br />Associate Economlc Development Orgonlzafion Noffication <br />The organlzadon llsted below has received notiflcadon of this appllcafion as demonstrated by the <br />signature of the organizationts representafive. <br />V*.a,q,antteq <br />Name of Organlzadon <br />C/W ata-6laobt <br />Date <br />Kltdtas county Department of Public works Recetpt of Application <br />Signature of Kittitas County DPW Representative Date <br />TyAed or Printed Name