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rr Y OF 1 O E ILLS <br />FINANCE DEPARTMENT, LICENSE DIVISION <br />2660 C CENTER DR., ROSEVILLE, MST 55113 <br />(651) 490-2212 <br />VETERINARY HOSPITAL LICENSE APPLICATION <br />BUSINESS NAME S ► 01i7d A*►c(S AW R m a 4 S (L 0 , kA W^3 g i I I L _ <br />BUSINESS ADDRESS t 2Zi L Ail Pr=- u-rry.& _.AV[= . W, ,.... -- <br />o s L- v1 c-C9 441AI s S- i i I <br />BUSINESS PHONE <br />PERSON TO CONTACT IN REGARD TO WSINESS LICENSE: <br />NAME �hu \ d L} P—�j 1:L1 (,/ S <br />FIR$T MIDDLE LAST <br />ADDRESS Z-'") kAj <br />E A) <br />PxorrE �� s 1 ) 6 � ,� = - -2 to � <br />I hereby apply for the following license for the term of one year, beginning July 1, -L oa ' and ending <br />June 30, G ., in the City of Roseville, County of Ramsey, State of Minnesota. <br />LICENSE RE UIREII: <br />FEE <br />$80000 <br />The undersigned applicant makes this application pursuant to all the lags of the State of Minnesota and <br />regulations as the Council of the City of Roseville may from die to time pEescrihe, including Minnesota <br />Statue #176.182. <br />Signature <br />Dite qr--r 4-fe-0-3 <br />* *If completed license should he nailed somewhere other than the business address, please advise* <br />Receipt #,, <br />