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submitted to them by the City or its authorized representative. I fully understand that the information so obtained <br />by the City may be used in the evaluation of my application. <br />I hereby release and exonerate any person who shall comply with the authorization and request made herein from <br />any and all liability of every nature and kind growing out of and in any ways pertaining to the furnishing or <br />inspection of such documents, records or other information. <br />I am a resident of the State of Minnesota. Yes; No <br />If not a Minnesota resident, I authorize the appropriate authorities to conduct a background investigation in the <br />state of residence listed on the valid identification card provided as part of this application. <br />Tennessen warning <br />The data you supply on this form will be used to process the license you are applying for. You are not legally <br />required to provide this data, but we will not be able to process the license without it. The data will constitute a <br />public record if and when the license is granted. <br />I have read and understand the Data Practices Rights Advisory and certify that the statements in this application <br />are true and correct to the best of my knowledge. <br />____________________________ ______________________________________________ <br />Date Signature <br /> <br /> <br />