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USDA Forest Senice OMB 0596-0217 <br />FS -1500-19 <br />I I.A. KITTITAS COUNTY SIGNATURE <br />I I.B. DATE <br />11.C. U.S. FOREST SERVICE SIGNATURE <br />I I.D. DATE <br />SIGNED <br />SIGNED <br />(Signauffe of Signatory Official <br />(Signature of Signatory Official <br />I I.E. NAME: <br />I I.F. NAME: <br />CLAY MYERS <br />KRISTIN M. BAIL <br />I I.G. TITLE: <br />1 I.H. TITLE: <br />Sheriff, Kittitas County <br />Forest Supervisor, Okanogan -Wenatchee National Forest <br />I LL U.S. FOREST SERVICE SAC SIGNATURE 1 I.J. DATE <br />SIGNED <br />(Signature of Signatory Official) <br />1 I.K. NAME: <br />ANDY CORIELL <br />1 I.L. TITLE: <br />Special Agent in Charge, U.S. Forest Service, <br />Pacific Northwest Law Enforcement and Investigations <br />12. G&A REVIEW <br />12.A. The authority and format of this modification have been reviewed and approved for signature by: <br />12.6. DATE <br />Ben Martini 2 ftafty 23 WASgnod 706273. <br />Dale, 2023,02.1507.0637 <br />SIGNED <br />BEN MARTIN (19 -LE -1 1061700-009 MOD005) <br />U.S. Forest Service Grants & Agreements Specialist <br />