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A I R B O R N E <br /> CUSTOM SPRAYING <br /> N Asomir <br /> AUTHORIZATION APPLICATION <br /> I understand that Airborne Custom Spraying is required to obtain the approval for aerial <br /> spraying over Cass County Vector Control, West Fargo, ND by an authorized representative. <br /> By the powers granted to me, I hereby give my approval for the low flying aircraft <br /> waivers required by the Federal Aviation Administration to Airborne Custom Spraying. <br /> (This application must be signed by an authorized representative of Cass County Vector <br /> Control.) <br /> Authorized Signature <br /> Printed Name <br /> Date <br /> Please complete application as soon as possible and return to <br /> Airborne Custom Spraying for processing and filing. <br /> Expiration Date: October 31, 2014 <br /> 1507 County Hwy 21,Halstad, MN 56548 • 218-456-2465• Fax: 218-456-2468• info @airbornecustomspraying.com <br />