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12/13/2019 https://www.savmn.com/Admin/FormCenter/Submissions/Print/1562 <br />https://www.savmn.com/Admin/FormCenter/Submissions/Print/1562 3/3 <br />I swear or affirm the above to be true. <br />Affirmation* <br />I swear or affirm that: I am a St. Anthony Village resident. I am eligible to vote in Minnesota. I am or will be on <br />assuming office, 21 years of age or more. I will have maintained residence in the city for at least 30 days before <br />appointment. I have all civil rights in place or restored. <br />I agree. <br />Electronic Signature Agreement* <br />By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the <br />sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature <br />to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be <br />required to provide a traditional signature at a later date. <br />Electronic Signature <br />Daniel L. Payne