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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 Committee. <br /> DATE <br /> •//4/-C-C41-271k <br /> Applicant Name � � � �%SI �� Fr' � c ' <br /> By l\ iv� �� / <br /> By <br /> ^ A � <br /> ) ( <br /> fl ( / <br /> Lb• <br /> -5- <br />