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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 will be <br /> required, agrees to reimburse the City as required in the policy and make payment when billed by the <br /> City, and agrees that the application may be denied for failure to reimburse the City for costs as <br /> provided in the policy. <br /> AGREEMENT <br /> I / We certify that all information provided in this application is true and correct to the best of <br /> my/our knowledge. I /We authorize the city of Elk River and the Finance Committee to check <br /> credit references and verify financial and other information. I / We agree to provide any additional <br /> information as may be requested by the city and the Finance Committee. <br /> The undersigned has received the city's policy regarding the payment of costs of review,understands <br /> that reimbursement to the city of costs incurred in reviewing the application will be required, agrees <br /> to reimburse the city as required in the policy and make payment when billed by the city, and agrees <br /> that the application may be denied for failure to reimburse the city for costs as provided in the <br /> policy. <br /> APPLICANT SIGNATURE <br /> BY <br /> DATE <br /> 8 <br />