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APPLICATION FOR TOURISM-RELATED,LARGE-SCALE <br />MUNICIPALITY-OWNED CIP LISTING <br />Applicant Information <br />Name of Municipality:City of Roslyn <br />Mailing Address:PO Box 451 <br />Roslyn,WA 98941 <br />Contact Person and Title:Brandi Taklo,City Clerk <br />Phone:509 649-3105 <br /> <br />Project Title:Roslyn City Hall,Library and Community <br />Center;1st Floor Renovation <br />Project Location:201 South First Street,Roslyn WA <br />Application Requirements <br />X 1.The project qualifies for lodging tax funds as a capital expenditure of a tourism- <br />related facility owned or operated by a municipality. <br />X 2.If this application is not from Kittitas County,the municipality's lodging tax advisory <br />committee (or equivalent)has been informed of the project and endorsed it.A letter <br />from the municipalityis included. <br />X 3.Lodging tax capital project funds are not being substitutedfor other funds that are <br />already secured or applied for (if applicable). <br />X 4.A completed project budget is included in the application. <br />X 5.A detailed 8 ½X 11 vicinity map that clearly shows the location of the project is <br />included. <br />APR 1 4 200 <br />1