I hereby sign this application. Date
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I solemnly swear and affirm: All the statements made above are true and correct. Signature [A witness will sign the above certificate by placing his or her hand upon the witness' forehead or forehead area. If the witness is a minor, his or her parent or legal guardian must sign the certificate.
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APPLICATION FOR PERMIT Collecting 5% ROOM TAX To the Clerk of the Village of Lake Dalton, Sank County, State of Wisconsin, that we the undersigned, hereby apply for a permit authorizing me to collect
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