Laserfiche WebLink
J <br />,f <br />Applicant Certification <br />Certification is hereby given that the information provided is accurate and the applicable attachments are <br />complete and included as part of the application package. <br />I certifr that application thresholds are met at the time of application. <br />re of Date <br />Sponsoring Agency <br />(If Applicable) <br />Signature of Agency Representative Date <br />Typed or Printed Name Date <br />Associate Economic l)evelopment Organization Notilication <br />The organization listed below has received notilication of this project as demonstrated by the <br />signature of the organizationts representative. <br />Name of Organization <br />Signature of Representative Date <br />a <br />5