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The undersigned certifies that all information provided in this application is true and correct <br />to the best of the undersigned’s knowledge. The undersigned authorizes the City of Elk <br />River to check credit references, verify financial and other information, and share this <br />information with other political subdivisions as needed. The undersigned also agrees to <br />provide any additional information as may be requested by the City after the filing of this <br />application. <br /> <br />The undersigned has received the City’s policy regarding the payment of costs of review, <br />understands that reimbursement to the City of costs incurred in reviewing the application <br />will be required, agrees to reimburse the City as required in the policy and make payment <br />when billed by the City, and agrees that the application may be denied for failure to <br />reimburse the City for costs as provided in the policy. <br /> <br />Formatted: Normal <br /> <br /> <br />Applicant Name Date <br />Formatted: Normal <br />Page 12 of 15 <br /> <br /> <br />