HomeMy WebLinkAboutState Fire Management Assistance applicationSTATE FIRE MANAGEMENTASSISTANCE APPLICATION DEM -131
Application Identifier:State Number:D19-1004
Federal Disaster Number:FM-5253-WA
Federal Catalog Number:97.046 Title:Fire Management Assistance Grants
Declaration Date:July 10,2018
Applicant's FEMA Project Application Number:037-99037-00
Legal Applicant Recipient:
Applicant's Name:Kittitas,County of
Street Address:205 W 5th Ave Ste 105
Mailing Address:County:Kittitas
City:EIIensburg State:WA Zip Code:98926-2887
Applicant Agent:Contact Information:
Name:Judy Pless Phone:509-962-7502
Title:Budget Finance Officer Fax:509-962-7687
E-mail:judy.pless@co.kittitas.wa.us
Signature:Date:June 16,2020
Alternate Applicant Agent:
Name:Jerry Pettit Phone:509-962-7557
Title:County Auditor Fax:509-962-7687
E-mail:jerry pettit@co kittitas.wa us
Signature:Date:June 16,2020
Type of Applicant:
A -State F -Higher Educational Institution
B -County G -Indian Tribe
C -City H -Private NonProfit
D -School District I -Other (Specify)
E -Special Purpose District
Enter Appropriate Letter B
Congressional District Number:8
State Legislative District Number:13
Governor's Authorized Representative:
Signature Date:
NOTE:Shaded blocks for WA EMD use.