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104/10/V0 11:4.7 1,1014 441 4UG1 Y 1K51 (4A1. t3MlK (®p1• Q <br /> • <br /> • <br /> • <br /> .4 <br /> Y/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 /> • <br /> DATE_2- --'3 5 . <br /> Applicant Name <br /> I <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • • <br /> • • <br /> • <br /> • <br /> • <br /> • <br /> r <br />