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<br />Information submitted on this application is public information. The information provided herein is true <br />and complete. A false Of misleading statement may be cause for elimination from consideration. <br /> <br />Signature of Applicant ....mf. - '-:lo...~.LA~C.~m <br /> <br /> <br />/' <br /> <br />Date \ I -- i 1m~m_o.._s.___ <br /> <br />Return completed applications to: <br /> <br />City Manager's Office <br />777 Pearl Street, Roorn 105 <br />Eugene, OR 9740J <br />541-682-5010 <br />541-682-5414 (Fax) (Applications may be faxed) <br /> <br />For more information, visit our web site at <br /> <br />C: \fXKTME--I \KEN\LOCi\LS-l \TE MP\}005 BCCapplication.d"" <br />