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• I/We certify that all information provided in this application is <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 Comm'ttee. <br /> DATE 4 0 <br /> Applicant Name Ai A ES , Siogif_ ,_ tOm.: 510- At CC <br /> By ¶TI14. /AInk'. <br /> I <br /> By A /' ! 111M,26 <br /> i <br /> • <br /> -5- <br />