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Lnt to r\e(ell- rd(KS c1. 01111111(11111L ce <br /> P14'R-NOXA-SUI'-5300-570 (► r <br /> ISSUANCE of this authorization is subject to the conditions. The undersigned hereby accepts this authorization <br /> subject to the terms, covenants, obligations, and reservations, expressed or implied herein. <br /> 12. Signatures: <br /> Authorization: <br /> Mayer `/ <br /> ig ure Title Date <br /> Authorizing NPS Vat144161‘1141144°41---- <br /> Official: SotEXi/v?vt/.oE-Arr 7-i /-17 <br /> Signature Title Date <br /> Authorizing NPS <br /> Official: <br /> (additional if required) Signature Title Date <br /> AP OVED ASFOR �T ST."Al Ar <br /> o� <br /> AME D.IL ,City Attorney City Clerk <br />