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The undersIgned affirms under penalty for perjury that the answers, representations and information provided <br />In this applica are trule and correcL <br />loop <br />inature <br />r <br />/""Le P75- � 1-t'jue 04. <br />arse Printed <br />0 <br />RO- k-14-e "S yR'` <br />6-7 /0 3/ 7 0 Z3 <br />Date <br />Dopm(mant of Public Works <br />2023 Shared Mobility Devkv Oparalor License Appfkefm <br />