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E*h ib i t A <br />9129122, 10:51 AM LTAC Clerk Review <br />CLTAC: Clerk Application Review <br />Clerk Verification *Please confirm whether the applicant attended the workshop or not. <br />Yes <br />No <br />Organ ization I nformation <br />Name of Dru Bru Taproom and Brewery <br />Organization * <br />Current Year Grant <br />Application <br />Workshop* <br />Organization <br />Address* <br />Upload Proof of <br />Organization Status* <br />W-9 form -signed_201 B.pdf <br />Acceptable file formats include: JPG, PDF or TIFF, <br />State / Province / Region <br />WA <br />Country <br />Kittitas <br />176.66K8 <br />Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of <br />Commerce? <br />Yes <br />No <br />Street Address <br />Palouse to Cascades State Park Trail - Hyak Parking <br />Address Line 2 <br />City <br />Snoqualmie Pass <br />Postal i Zip Code <br />98068 <br />Business <br />Non-Profit <br />Organization is a:* <br />(Note: Please submit W-9 for business or IRS Designation Letter for non-profit.) <br />Click here to view sample documents (redacted). <br />Project Contact I nformation <br />First Name*Sara <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77 445185642?hideHeader=true 1t10