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APPLICANT: <br />1(w <br />By <br />Signature <br />Type/Print Name <br />a Mm;�, <br />Fairgzim <br />L cense Agreement <br />Initial� <br />INDIAN C Y: <br />By <br />Si .�atture <br />Type/Print Name <br />-1k y t v/ <br />Title <br />Page 12 o f 12 <br />