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Business, Mare <br />Business Address <br />rag Mqff pm ' <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive,, Rosevflle, MN 55,113 <br />(651) 792-71034 <br />Veterinary Hospital Application <br />Plersioln tio Contiacit in Regard i Business License: <br />Name <br />Address <br />Phonle / <br />I <br />lhierieby a ply for the folliowinIg license(s) for the term of one � ear, bielginning July 1, anid ending <br />,P Y <br />Rine 30) in the City of Roseville, County of Ranisicy, State of Minnesota'. <br />License Requi"red <br />Veterinary Hospital <br />Fee <br />$801.010 <br />i a <br />The and reigned applicant makies this application pursuant to all the laws of the Stag of Minm esot and regulation <br />.� e i cluld"nIg M1111111 iota statuelffl61. 181 <br />as the, Co'uocil oft hie City of Roseville may from time to ti'mie, rescrib n I <br />,P <br />Signature WC <br />Date <br />If completed hicenise sihiould be mailed somewhere other than thie busi"ness adidress, pleasie aid'vi <br />