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1; Mw- <br />Phone No- & .............. Date ofBirth <br />Drivers License Number <br />I hereby apply for the Mowing license(s) for the term of'one year beginning july 1, 4 <br />June 31 1 7 , and en <br />M" the City of Roseville, County of Ramsey, and State of Minnesota. <br />1-1planian Raujill'i'ved <br />:a-- — <br />Massage Tlwrapy Establishment $300.00 <br />$150.00 Background Check <br />- (new license only) <br />I - 4 . 0 0 a I ON -41, <br />1 0 11 1 1 <br />AL <br />............. <br />Ina <br />Signature <br />F117M <br />Ir completed license should be mailed somewhere hn ther, than the business address, please advise. <br />