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<br />. <br /> <br />MAR-26-0; MeN 1:55 FM GeY Or FOREST LAKE <br /> <br />FAX ~D. 651 464 4968 <br /> <br />D , <br />i. I <br /> <br />, <br /> <br /> <br />PDftoIt" Fax Note 7671 <br />To <br />00.10"'. <br /> <br /> <br />APPLICATION FORM I<'OR SAlJNMOK MASI'JACi.l!; I'AHLOKlS Uc.:ENSE <br /> <br />INITIAL INVESTIGATIVE FEE $250.00 <br />LICENSE PER YEAR $300.00 . (NOT PRORATED) <br /> <br />TRADE NAME. <br /> <br />DATSOF APPLICATION <br /> <br />LICENSING PaRlOD <br /> <br />fULL NAME OF APPLICANT. OWNER <br />IF INDIVIDlJAL <br /> <br />PHONE NUMBER <br /> <br />ADDRESS <br /> <br />CITY <br /> <br />STATE <br /> <br />OA TE 01 BIRTH <br /> <br />ADDRESS OF BUSINESS <br />LOCATION <br /> <br />PL....CE OF BIR.TH <br /> <br />LEGAL DESCRIPTION OF BUSINESS LOCATION: <br /> <br />LIST OWNERS Of BUlLDlNO OR pREMISE TO BE LICENSED: <br /> <br />NAMES: <br /> <br />ADOlU!SSES: <br /> <br />DATE OF BIRTHS: <br /> <br />MANAOD'SNAM! <br /> <br />ADDRESS <br /> <br />PHONE <br />