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...rte <br /> s <br /> 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 Committee. <br /> DATE 2/6 ;7/97 / <br /> Applicant Name rimer,b .v,.t. . -r = —1 - /40e; z �/ <br /> for, <br /> By / 4, _dt L 'c `-- •. ,f, 0 /. +ws rex <br /> r <br /> • <br /> 4 <br /> -5- <br />