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12/30%97 11:53 04417425 CITY/ELK RIVER Z1006 <br /> • <br /> • I/We certify that all information provided in this application ie <br /> true and correct to the best of my/our knowledge. I/We authorize the <br /> City of Elk River and the Finance Committee to check credit <br /> references and verify financial and other information. I/We agree to <br /> provide any additional information as may be requested by the City <br /> and the Finance Committee. <br /> DATE 12 L3©1q <br /> LL <br /> Applicant Name L►1 ; !r YIP. - �♦ L. L.(1, <br /> AiPorBy 4, �� � lees/dont <br /> Ey <br /> . <br /> • <br /> _5_ <br /> ILL <br />