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RESIDENTS APPLYING OR CONSENTING TO APPLICATION <br /> (60% of the adult residents of the affected block) <br /> <br />Attach extra sheets as needed <br /> <br />Name Address <br /> <br />OFFICE USE ONLY <br /> <br />Checked by Police Dept. <br />Reviewed by Fire Dept. <br />c/c to City Administrator <br /> <br />(officer) <br />(officer) <br /> (check) <br /> <br />APPROVED BY POLICE CHIEF <br /> <br />Date: <br /> <br />\\elkriver\sys\shrdoc\forms\blockapl.doc <br /> <br /> <br />