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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 X--a76' " 9' '3 <br /> Applicant Name W4... eP Z;vc . <br /> By �,.� XV%o er N ci2 <br /> BY "C--e s <br /> • <br /> -5- <br />