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If the application is made on behalf of a partnership, please submit full names with their <br />residence and post office address for a period of six months prior to the date of <br />application together with the location of principal office or place of business of such <br />corporatinn. <br />Emergency contact narne(s) and phone nurnber(s) that can be contacted during the <br />event: <br />Mark Pete (509) <br />Name <br />Alicia tromme Tobin <br />Name Phone Number <br />WRITTEN PERMISSION TO ENTER EVENT SITE <br />I/We hereby permit law enforcement and/or County officials to enter the site for which <br />the Evcnt Application has been granted at the time of thc event and up to five days <br />prior to the event for the purposes of inspecting and enforcement of County Code and <br />other applicable laws, and pursuant to my agreement and representations made in <br />connection with this Event Application. <br />SWORN STATEMENT OF COMPLIANCE <br />l/We hereby acknowledge that l/we have read Kittitas County Code, have <br />familiarized myself with County requirements. llWe agree that either my designatcd <br />agent ar If we shall be on site at all times and shall be responsible for the operation of <br />the event and for compliance with all legal requirements in connection rvith this event. <br />IlWe understand that failure to comply with the rules, regulations ancl conditions set <br />forth in Code may be deemed a gross misdemeanor and that drug or narcotics <br />violations are crimes under RCW. <br />Mark Peterson <br />Applicant Name (Print)App <br />Alicia Stromme T obin <br />Applicant Name (Print)Applicant Signature <br />KrrrlrAs couNTy couttrt{ousll . 20i WEST ih, sut]'E loti ELLENSBURC. \\:A 9.q92(r <br />(5{}9) 962-7508 FAX (509) 962-7679 <br />rlryrv.co,kiilitas.rva.us <br />Phone Number <br />{509)969-8683