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If the application is made on behalf of a partnership, please submit fulInames with their <br />residencl and post office address for a period of six months prior t9 the date of <br />application tofether with the location of principal office or place of business of such <br />corporation. <br />Emergency contact name(s) and phone number(s) that can be contacted during the <br />t " 6{)35 <br />(J oL 3 z <br />Name Phone <br />WRITTEN PERMISSION TO ENTER EVENT SITE <br />IlWehereby permit law enforcement and/ ot 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 pulposes 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/Wehereby acknowledge that I/Wehave read Kittitas County Code, have <br />familiarized myself with County requirements. I/We age€ that either my designated <br />agent orI/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,and conditions set <br />forth in Code may be deemed a gross misdemeanor <br />violations are crimes under RCW. <br />I ,n ,n, e L 6e i..''e* <br />ApplicantName (Print) <br />ApplicantName (Prinq Applicant Signature <br />KITTITAS cot NTy couRTTIousE zos west f , sUITE los ELLENSBURc, wA 98926 <br />(s09) 962-?508 FAX (509) 962-?67e <br />www,co.kittitas.wa.m <br />Signahrre