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I understand that the City will not publish my phone or fax numbers or email address without my authorization <br />and do hereby allow the City to publish (check all that apply). <br />X home telephone number <br />X work tele�hone <br />_�_rrr�aii add � I <br />� ��'��� � <br />Signature o f Applicant <br />Application 031017 <br />��+9 � <br />Date o f Application <br />