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Applicant 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 />certify that app lon-thresholds arp MAt Of ►he grn q OF applic;ativn. <br />10F~860viinw jVUHUr <br />(If Applicable) <br />Signature of Agency Representative <br />Typed or Printed Nannie <br />Date <br />bate <br />Qate <br />Associate Economic Development Organization Notificatlop <br />The organization listed below has received notification of this application as demonstrated <br />by the signature of the organization's representative. <br />Name of anization <br />igni��nLiaadve D -----------.___� _ <br />Mites County Department of Public Works Receipt of Application <br />Signature of Kittftas County DPIN Date <br />Representative <br />Typed or Printed Name <br />