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rants ng sarepn r rn u ra ns. <br />APPLICATION FOR LODGING TAX FOR INTERNAL TOURISM. <br />RELATED OPERATIONS <br />Applicant lnformation - operations <br />Application for Fiscal Year <br />Enter date: i.e. Jan L <br />2O?? Ilanua rV L - December 31. 20221 <br />Name of Department Public Works <br />Mailing Address:411 North R ub Suite 1 <br />Ellensburg, WA 98926 <br />Contact Person and Title Mark R Coo Di ork <br />Phone:509-962-7s)3 <br />Email:m ark. cook(oco. kitttitas.wa. us <br />Project Title:Vantase Boat Lau Overflow Parkine <br />Project Location:Vantage Boat Launch, Vantage, WA <br />Funding Request: <br />Application Requirements <br />X 1. The project qualifies for lodging tax funds is supporting the operations of <br />tourism-related facilities owned or operated by Kittitas County. <br />X 2. A completed project budget is included in the application (if applicable). <br />Applicant Certification: Please sign below in agreement with statement of certification. <br />Certification is hereby given that the information provided is accurate and the applicable <br />attachments are complete and included as part of the application package. <br />I further certify that the application thresholds are met at the time of application.L lD,o.h,. //.J o 2'k-Z <br />Signature of Official Representative Title Date