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<br />. <br /> <br />13. Address(es) at which you have Hved during preCeding tell <br />years. (Begin with ~rasent or last addre~~, and work back.) <br /> <br />14. Kind, name, and location of every business or occupation you <br />have been engaged in during the preceding ten years. (Begin <br />with present business and work hack.) <br /> <br />Business Or <br />.QQcupa1;,i.9~ <br /> <br />streat Address <br />City anq Stat'i! <br /> <br />Nature of Business <br />5,)'1; Occunation <br /> <br />.--~----- <br /> <br />"'~""-_...,- <br /> <br />15. Attach a certified copy Of a diploma or certificate of <br />graduation from a school of massage therapy including a <br />minimum of 600 hours in successfully complete~ course work as <br />described in Litellil Canada Ordinance No. 426. (Ordinance ,~t1;ached..1 <br /> <br />16. Have you ever been oonvicted of any felony, crime, or <br />violation of any ordinance other than traffic? <br /> <br />Yes <br /> <br />__No <br /> <br />If yes, given in!orl11lltio!1 as to the time, place, and offense <br />tor Which convictions \~ere had. <br /> <br />17. Have you been in military service? ______ Yes _____ No <br />If yes, was discharge(s) ever other than honorable? <br />__ Yes No <br />(Upon request, you may be required to exhibit all <br />disCharge" . ) <br /> <br />18. Are you directly or ind!rectly interested in other <br />establishments in the City of Little Canada to which a <br />lioense of the same kind has been issued? <br />_.,,__ 'les No <br /> <br />o i 'd <br /> <br />R,CPPflP rc;g 'Of.! Xl-j~ <br /> <br /><!t1f!N\i;) :nu T 1 ~n ,U. T ,1 <br /> <br />Q1.:,; HnW In-c?-~fiW <br />