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<br />PART E: FINANCIAL BACKGROUND OF APPLICANT <br /> <br />1. Please provide the City with a copy of the audited financial statements of the Applicant for each of the <br />past two (2) fiscal years, including an income statement, balance sheet, statement of cash flows and <br />statement of owner's equity. In cases where there are a parent/subsidiary, then segmented subsidiary <br />financial disclosure should be provided. <br /> <br />PART F: MISCELLANEOUS <br /> <br />1. Please provide proofthat Applicant had joined and that it will participate in the regional "one call" <br />notification system serving the Sunny Isle Beach area regarding location of underground utilities. <br /> <br />I certify that I am authorized to execute this Application on behalf of the Applicant. I further understand that if <br />there are material omissions of information requested by this Applicant or deliberately false answers given to <br />questions on this Applicant, the City may revoke any license it has granted in reliance on the answers provided <br />by Applicant to this Application. <br /> <br />Date: <br /> <br />(Name of Applicant) <br /> <br />ATTEST: <br /> <br />By: <br /> <br />Corporate Secretary <br /> <br />(Corporate Seal) <br /> <br />Telecommunications Right-of-Way Application <br />Exhibit "A" to Ordinance Ch <br />4/5/00 -- 1 :20 PM <br /> <br />6 <br />