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6 <br /> <br /> <br /> <br /> <br /> <br />Requested by: <br /> <br />Permission hereby is granted to the above named party and whose signature is affixed <br />to this form, to ride as a passenger in a building department vehicle on <br /> <br /> <br />Dated this day of , 20 . <br /> <br />Approved by: <br /> <br />Bryan Bear, City Administrator