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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 /,e0/23.--------/ <br /> D a �. <br /> Applicant Name tz 7`rYn le7/ 1-/i/‘-e <br /> BY • - 1�/ � , , U <br /> By <br /> III <br /> a <br /> -5- <br />