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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 />aoolication tosether with the location of principal office or place of business of such <br />cliporation. bru Bru 121, Snoqualniie Pa'ss. WA. 98068 <br />ui/<Joria, rn*g*r <br />Emergency contact name(s) and phone number(s) that can be contacted during the <br />event: <br />criff 209-598-2254 <br />Name Phone Number <br />Viktoria Mever 425-941-6300 <br />Name Phone Number <br />WRITTEN PERMISSION TO ENTER EVENT SITE <br />l/We hereby permit law enforcement andf or County officials to enter the site for which <br />the Event Application has been granted at the time of the 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 />I/We hereby acknowledge that I/We have read Kittitas County Code, have <br />Iamibarized myself with County requirements. I/We agree that either my designated <br />agent or I/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 with this event. <br />I/We understand that failure to comply with the rules, regulations and conditions set <br />forth in Code may be deemed a gross misdemeanor and that drug or narcotics <br />violations are crimes under RCW. <br />viktoria Mever <br />Applicant Name (Print)Applicant Signature <br />Applicant Name (Print)Applicant Signature <br />KITTITAS COUNTY COURTHOUSE . 205 WEST 5'h, SUITE IO8 ELLENSBURG, WA 98926 <br />(s09)962-'7s08 FAX (s09) 962-7679 <br />www.co. kittitas.wa.us