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<br />. <br /> <br />Revenue, or any other person or entity authorized by law to <br />reoeive sa1d information. I release the City of Little Canada <br />from any and all liability for its receipt and use of data <br />received pursuant to this application. <br /> <br />STATB OF MINNESOTA) <br />) <br />COUNT~ OF ) <br /> <br />, being first dUly <br />sworn, upon his/her oath, deposes and says that he/she is the <br />person who has executed the above applieation, and that the <br />statements made therein are true of his/har own knowlQdqe and <br />"'elief. <br /> <br />SIGNATURE <br /> <br />TITLE <br /> <br />SUbsoribed and sworn to before me this <br />19___ <br /> <br />day ot <br /> <br />-, <br /> <br />N'OTAR'l PUBLIC <br /> <br />COUNTY <br /> <br />My co~,ission expires <br /> <br />7 <br /> <br />80 'd <br /> <br />8S~vp8v199 'ON X~j <br /> <br />~(]\;lN\;lQ 31.LJ.I 1 AO A.Ll:) <br /> <br />9Z:g[ NOW [n-H?,-~\;lW <br />