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Applicant Certifi cation <br />Certification is hereby given that the information provided is accurate and the applicable attachments are <br />complete and included as part of the application package. <br />I certifu that application thresholds are met at the time of application. <br />Z <br />Signature of Oflicial Representative <br />Sponsorlng Agency <br />(If Applicable) <br />Slgnature of Agency Representative Date <br />Typed or Printed Name Date <br />Associate Economlc Development Organization Notification <br />The organlzation listed below has recelved notification of this application as demonstrated by the <br />signature of the organizationts representative. <br />/r*fu <br />/ara . C/tornb€r f 6rttt-rq- <br />Z <br />Date <br />N <br />Signature of <br />Organizatlon <br />a. I rr /;uDa t <br />Dete <br />Kittitas County Department of Public Works Receipt of Application <br />Signature of Kittitas County DPW Representative Date <br />Typed or Printed Name