Laserfiche WebLink
A"l * <br />ui:ty of Invoseville <br />Finance vepartment, License Division <br />2660 Civic Center Drive, RoseviRe, MN 5511`1 <br />(651) 792-7036 1 <br />Person to Contact, in, Regard to Business License: <br />Legal Name <br />Address <br />Phone <br />Drivers License Number <br />Mot ms a • 11 <br />I hereby apply for the following licenses ) for the term of one year,, beginning, July 1, and ending <br />June 31 1 in the City of' Rosevillie, County of Ramsey, and State of Minnesota. <br />or <br />Massage Therapy Establishment <br />I <br />$300.00 <br />► 15'0.iOO Background Check <br />(new license only) <br />The, undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of th,ie City of Roseville mathe from time to time prescribe,, includin Minnesota Statue #176.182, la <br />addition the applicant acknowled, s that are responsibile for reviewing the Back eround and work histoKy of <br />their gWlovees. including those that have received a massa2,e ether license from t <br />I ist he <br />Signature 720� <br />WOP- <br />Date jrl /61 <br />If completed license should be mailed somewhere other than the business address, please advise. <br />114 <br />Z (nave 4/p JMA710 d e, e, <br />