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Application is hereby made for furling in the amount and for the purposes <br />stated herein. By signature, the Authorized Official agrees and has the au- <br />thority to agree to comply with conditions and reporting requirements, consis- <br />tent with applicable Mi;_asota Department of Public Safety Rules and Minnesota <br />Statutes. In addition, by signature below, the Authorized Official assures <br />full compliance with all items stated herein. <br />NIiIiORIZED OFFICIAL: <br />