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Allina Medical Clinic hereby acknowledges receipt of this permit and has reviewed the <br />conditions of this permit and has agreed to comply with the terms of this permit. <br />Allina Medical Clinic <br />By: <br />Its: <br />STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF ) <br />On this day of , before me a Notary Public, personally <br />appeared , the of Allina <br />Medical Clinic, a non - profit corporation under the laws of the State of Minnesota, whose address is <br />2925 Chicago Avenue, Minneapolis, MN 55407, on behalf of the corporation. <br />RESOLUTION #11-05 - <br />Page 3 of 4 <br />Notary Public <br />