Laserfiche WebLink
Applicant Certification <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 />1 certify that application thresholds are met at the time of application. <br />Signature of OfficiM Representative <br />Sponsoring Agency <br />(If Applicable) <br />Signature of Agency Representative <br />Typed or Printed Name <br />Date <br />nate <br />Date <br />Associate Economic (Development Organization Notification <br />The organization listed below has received notification of this project as demonstrated by the <br />signature of the organization's representative. <br />Y,f nr�o <br />Name of Organization <br />Signature of Represe t tive Date <br />