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The undersigned has received the Citys policy regarding the pay <br />understands that reimbursement to the City of costs incurred in <br />required, agrees to reimburse the City as required in the policy and make payment when billed by t <br />City, and agrees that the application may be denied for failure <br />provided in the policy. <br /> <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 th <br />credit references and verify financial and other information. I <br />information asmay be requested by the city and the Finance Committee. <br />The undersigned has received the citys policy regarding the pay <br />that reimbursement to the city of costs incurred in reviewing thagrees <br />to reimburse the city as required in the policy and make payment <br />that the application may be denied for failure to reimburse the <br />policy. <br />APPLICANT SIGNATURE <br />BY <br /> <br /> <br />DATE <br /> <br />8 <br /> <br />