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CM.OF GEM LAKE <br />4200 Otter Lake Road <br />Gera LAO, MN r 5110-3z?T —` <br />651-747-2700 <br />BUSINESS LICENSE APPLICATION <br />__ ,:ai�.�.r„h:., "':='t'rri;.•=*�'!•�:�:-»k<fT'=.�!'�=,z`vt;Ri'i=�e�:v - :..�.r .; ��" .:Fi.'.-, .`p2.,:. �'f':-:��:.:nt ��:-� — •. f. rRr� <br />:`V!�;;!:77,, `ir.'�' %;.i: �?: ..rHwr,-7'�D.,. .�i%,:. o� ;�. �:i%;i;.; ;$.._ .,.R; ,,.�..db•.+,.�,;�.F .��.. •.j:::: <br />Name of Business: Sanibei Dance Company, LLC <br />Address: 3591 Hoffman Rd <br />Gem Lake. <br />8.usinessPbone: 651-308-7748 Business F& <br />Applicant: Amber Hom <br />MailingAddress: 3591 1Qjft�iin fId <br />Sfreel A.Odf `sS <br />»_ 5We ! Una r _ -- <br />Mid 55110 <br />Suite/Unit <br />Gem Lake _ MN 55.110 <br />&V SfRre zlp Cod". _. <br />Applilcan4 Phbnc:. 65V308-7748 AppiicanCCell: 651-329-5363 <br />i>tN Tax ID' P. 40771:82 Federal lax Mar:: 47-4283867 _ <br />(P( 57a1e SI 11te 201C ,1Z 5(013) <br />Type of Burinoss: Dance instruction <br />Number of <br />.Enctosed;is the Sum of•$109.0Q.regvestin.g thna. business license be granted pursuant to City ordinance <br />189. The btrsirless:1kense is valid January. 19 to December'311" of each year.. Upon license beirig <br />granted, the underssgned'agrees•to campiy Wth all ordinances, rules and regulations of Gem Lake. <br />APVr�anEignawie: �ri:Lri' ?' /i c �. Date: <br />bepbsit of the chdck by the City does oot constitute the Issuance of a business•jic;ens .; <br />'1L'.a.��:J`:" I:::y .�i.'t.T � J��J 1:�:: if•iy7l : ��flr-;''h�^�: :y.'v ,y, .,,r' <br />Foi Praid. Qate: 7 <br />lbOecbori Date: _ Inspccied•9yt.._._ <br />License Approved- _ Date Approved: <br />S �TEfii'Lk1'E Fk'F0k'v1S\L1L111.D1NGjGE1ri (AKF"Gctn i 4,(- rusowss LcensF ApIAcdtirrq. .Yoc 10!7!241 <br />