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10 | Page <br /> <br /> <br /> <br />Participating Department <br /> <br />Organization: Lino Lakes Public Safety Department - Fire Division____________________ <br />City, State, Zip:__640 Town Center Parkway, Lino Lakes, MN 55014____________________ <br />Federal Identification Number (FEIN):_____41-0883446________________________________ <br />Authorized Official Name (Typed):______John Swenson______________________________ <br />Signature:__________________________________________________Date:______________ <br />Authorized Official Title:______Public Safety Director_________________________________ <br />Point of Contact Name:________Wayne Wegener____________________________________ <br />Signature:__________________________________________________Date:______________ <br />Point of Contact Title:_____Public Safety Captain__________________________________ <br /> <br />The Local Match committed by this participating department is: $$6,303 <br /> <br /> <br /> <br />