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<br />Revenue, or any other person or entity authorized by law to <br />reoeive said information. I release the Ci~y of Little Canada <br />from any and all liability for its receipt and use of data <br />received pursuant to this application. <br /> <br />STATE OF MINNESOTA) <br />) <br />COUNT~ OF ) <br /> <br />, being first dUlY <br />his/her oath, deposes and says that he/she is the <br />has executed the above application, and that the <br />made therein are true of his/her own knowledge and <br /> <br />liworn, upon <br />person who <br />IIltatements <br />b.al.ief. <br /> <br />SIGNATURE <br /> <br />TITLE <br /> <br />Subscribed and sworn to before me this <br />19__..._. <br /> <br />on 'J <br /> <br />day of _ <br /> <br />---, <br /> <br />NOTARY PUBLIC <br /> <br />--,.,~- <br />COUNTY <br /> <br />My commission exPires______ <br /> <br />7 <br /> <br />OCr:hhOn T (';{'J 'i"lU VU J <br /> <br />Ur.I.I~IC!~ ".j"'T' r T '1 J(~ r i T ^ <br /> <br />f':~,...T ll(',') Tn ri., 'lUll <br />