Laserfiche WebLink
9129122. 1i :1 3 AM LTAC Clerk Review E*nib i r "N' <br />CLTAC. Clerk Application Review <br />Clerk Verification *Please confirm whether the applicant attended the workshop or not. <br />Yes <br />No <br />Organization lnformation <br />Current Year Grant <br />Application <br />Workshop* <br />Name of <br />Organization * <br />Organization <br />Address* <br />Upload Proof of <br />Organization Status* <br />Street Address <br />2830 S. Thorp Hwy <br />Address Line 2 <br />City <br />Ellensburg <br />Postal i Zip Code <br />98926 <br />Proof of Organization Status 2022.pdf <br />Acceptable file formats include: JPG, PDF or TIFF <br />Did you attend the Grant Application Workshop for lhe current year hosted by the Kittitas County Chamber of <br />Commerce? <br />Yes <br />No <br />Junktiquen in the Burg <br />Organization is a:*Business <br />Non-Profit <br />(Note: Please submit W-9 for business or IRS Designation Letter for non-profit.) <br />Click here to view sample documents (redacted). <br />State / Province / Region <br />WA <br />Country <br />USA <br />45.1K8 <br />Project Contact I nformation <br />First Name*Becky <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77656/85651 ?hideHeader=true 1t14