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p <br />�Stam of Receipt Date) <br />% 1 <br />M <br />pursuant to laws of Minnesota, <br />NAME ADDRESS <br />OR PROPERTY DESCRIPTi6N <br />TEL.NO, <br />WFA-0 MW <br />MON <br />APP <br />WIM, <br />W poll <br />JgO <br />Owl' <br />WA at W.'d <br />VII11114111111 <br />AMW <br />Engineering Dlvlslon <br />Examined, ch,e,ckied, and found to be in proper form and to be signed by the requ! d <br />riumber, of owners of property affected by making of the provement pentioned for, <br />Diateld: By City Manager <br />