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CITY of l O EVILLE <br />FINANCE DEPARTMENT, LICENSE DIW ION <br />2660 CSC CENTER DR., ROSEVILLE, MT 55113 <br />(651) 490 -2212 <br />VETERINARY HOSPITAL LICENSE "RLI ATI l <br />BUSINESS 7vAvtE _� o �"� �/�GL� L _vx�� <br />BUSINESS ADDRESS .1 b . 2 o �► C.. r�„�� -G .. <br />BUSINESS PHONE <br />PERSON TO CONTACT W RE AMTO BUSINESS LIC�]�T�L�; <br />NAME <br />did <br />FIRST UDDLE <br />LAST <br />ADDS Tri .+, <br />PHONE <br />I hereby apply for the following license for the term of one year, he + ' � July 1, and ending <br />Juno 30, O�Z , in the City of Roseville, County ofl Ramsey, State of Nfinnesota. <br />LICENSE REOUEREDS <br />FEE <br />�r <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 time p rescrih � ' cluding Minnesota <br />Statue #176.182. <br />Signature <br />Date <br />**If completed license should be maffed somewhere other than the bus"mess address, please advise* <br />a <br />ti <br />Receipt # <br />