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Yakima County Neighborhood Clean-Up Application

2. Name of Organization*
4. Event Date*
   Event Date
5. Event Location*
7. Event Coordinator*
8. Phone Number*
10. Are you partnering with a garbage hauler or city?*

    1. Garbage Hauler

    1. City
11. Name of hauler or city*
13. Project Goals*
15. Number of volunteers*
16. Estimated amount of landfill fes requesting to be waived*
18. How will materials be hauled to the landfill?*
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field