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Home My WebLink AboutKittitas County- FMAG Application STATE FIRE MANAGEMENT ASSISTANCE APPLICATION FMAGP - 001 Application Identifier: 6WDWH1XPEHU )HGHUDO'LVDVWHU1XPEHU Federal Catalog Number: 97.046 Title: Fire Management Assistance Grants Declaration Date: Applicant’s FEMA Project Application Number: Legal Applicant Recipient: $SSOLFDQW¶V1DPH 6WUHHW$GGUHVV 0DLOLQJ$GGUHVV&RXQW\ &LW\6WDWH=LS&RGH Applicant Agent: Contact Information: 1DPH 3KRQH 7LWOH)D[ (PDLO 6LJQDWXUH'DWH Alternate Applicant Agent: 1DPH 3KRQH 7LWOH)D[ (PDLO 6LJQDWXUH 'DWH Type of Applicant: $6WDWH)+LJKHU(GXFDWLRQDO,QVWLWXWLRQ %&RXQW\*,QGLDQ7ULEH &&LW\+3ULYDWH1RQ3URILW '6FKRRO'LVWULFW ,2WKHU6SHFLI\BBBBBBBBBBBBBBBBBB (6SHFLDO3XUSRVH'LVWULFW (QWHU$SSURSULDWH/HWWHUBBBBBBB Congressional District Number: BBBBBBBBBBBBBBBBBBBBBBB State Legislative District Number: BBBBBBBBBBBBBBBBBBBBBBB Governor's Authorized Representative: 6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 'DWHBBBBBBBBBBBBBBBB NOTE6KDGHGEORFNVIRU:$(0'XVH D17-1016 5200 September 2, 2017 037-99037-00 County of Kittitas 205 West 5th Avenue, Suite 105 Kittitas Ellensburg WA 98926 Judy Pless Budget Finance Officer 509-962-7502 509-962-7687 judy.pless@co.kittitas.wa.us December 5, 2017 Jerry Pettit County Auditor 509-962-7557 5059-962-7687 jerry.pettit@co.kittitas.wa.us December 5, 2017 B 8 13 SIGNATURE AUTHORIZATION FORM :$6+,1*72167$7(0,/,7$5<'(3$570(17 &DPS0XUUD\:DVKLQJWRQ Please read instructions on reverse side before completing this form. 1$0(2)25*$1,=$7,21 '$7(68%0,77(' 352-(&7'(6&5,37,21 )0$*3URJUDP'LVDVWHU)0:$ &2175$&7180%(5 $87+25,=,1*$87+25,7< 6,*1$785( 35,17257<3(1$0( 7,7/(7(502)2)),&( 27+(5,1',9,'8$/6$87+25,=('726,*1&2175$&76&2175$&7$0(1'0(176 6,*1$785( 35,17257<3(1$0( 7,7/( 6,*1$87+±3$5HYLVHG County of Kittitas December 5, 2017 5200 D17-1016 Paul Jewell Chairman Board of Co Commissioners Laura Osaidacz Vice-Chairman Board of Co Commissione Obie O'Brien County Commissioner Judy Pless Budget Finance Manager Jerry Pettit County Auditor