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<br />. <br /> <br />. <br /> <br />. <br /> <br />~ <br />~ <br />/]'\~LLS <br /> <br />CITY OF ARDEN HILLS <br />City Hall Contact: Michelle Wolfe, City Administrator <br />City Hall Phone: 651.634.5120 <br /> <br />INVESTIGATION REQUEST <br />RAMSEY COUNTY SHERIFF'S DEPARTMENT: Records/Patrol Division <br /> <br />THE CITY OF ARDEN HILLS requests a background check for: <br /> <br /> <br />Gamblin ull-Tab A lication <br />Em 10 ent - Criminal <br />X Peddlers, Solicitors, Transient Merchants, or <br />Political Canvassing Operations- <br />Back ound Checks <br /> <br />Applicant Name: <br /> <br />Last <br /> <br />First <br /> <br />Full Middle Name <br /> <br />Other Names: <br /> <br />(Other names by which applicant has been known, including maiden name, <br />names form previous marriages or aliases): <br /> <br />Last <br /> <br />First <br /> <br />Full Middle Name <br /> <br />Last <br /> <br />First <br /> <br />Full Middle Name <br /> <br />Date of Birth: <br /> <br />I <br /> <br />I <br /> <br />Race: <br /> <br />Driver's License No.: <br /> <br />State oflssue: <br /> <br />Name of establishment or organization where business will be conducted pursuant to the permit <br />application: <br /> <br />Location or area where the organization will be conducting business pursuant to the permit application: <br /> <br />City Hall to forward request to: <br /> <br />Jim Moody <br />Ramsey County Sheriff s Department <br />1411 Paul Kirkwold Drive, Arden Hills, MN 55112 <br />Fax 651.266-7306; Phone 651.484.3366 <br /> <br />APPLICANT: PLEASE RETURN FORM TO <br />CITY OF ARDEN HILLS, 1245 WEST HIGHWAY 96, ARDEN HILLS MN 55II2 <br />