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<br />Revenue, or any other person or entity authorized by law to <br />reoeive sai~ information. I release the City of Little Canada <br />from any an~ 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 />$worn, upon his/her oath, deposes and says that he/she is the <br />person who has executed the above application, and that the <br />statements made therain are true of hiS/her own knowledge and <br />bel.lee. <br /> <br />SIGNATURE <br /> <br />TITLE <br /> <br />Sube0ribed and sworn to before me this <br />19_....._. <br /> <br />day at <br /> <br />._._~, <br /> <br />NCTAR~ PUBLIC <br /> <br />.""--- <br />COUNTY <br /> <br />My commission expires <br /> <br />7 <br /> <br />on . J <br /> <br />OCt.hhOf,Tr.r1 'm! VUJ <br /> <br />UfTtJI.JWt~ -:::"11' T., J" i i TA <br /> <br />(".,,,..1 HAn TA r.., \:Ull <br />