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�J <br /> f , <br /> r/f <br /> CITY OF ROSEVILLE <br /> FINANCE DEPARTMENT, LICENSE DIVISION <br /> 2660 CIVIC CENTER DR., ROSEVXLLE, MN 55113 <br /> (651) 490-2212 <br /> VETERINARY HOSPITAL LICENSE APPLICATION <br /> BUSINESS NAME '' .�#1 . ' - (�i c 0 �� ► -- <br /> BUSINESS ADDRESS A Vim: • <br /> s ' <br /> BUSINESS PHONE —2 e0 <br /> PER ON TO CONTA f`T IN R F�,��-R-D-'-OBUSMN . <br /> NAME k u 0 (v-s <br /> FIRST MIDDLE LAST <br /> ,., - a .- �: PE-�,` A A I:� :.ADDRESS , G�.•', <br /> L U <br /> L t C-of, t1q. <br /> PHONE ��� �- + �t' ��= 24 0 <br /> I hereby apply for the following license for the term of one year, beginning July 1, 2002, and ending <br /> June 30, 2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br /> LICENSE REQUIRED: FEE <br /> VETERINARY HOSPITAL $80.00 <br /> The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br /> regulations as the Council of the City of Roseville may from time to time prescribe, including Minnesota <br /> Statue #176.182. <br /> Signature .., <br /> Date i--v :1- <br /> "If completed license should be mailed somewhere other than the business address, please advise. <br /> Receipt # <br />