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City of Roseville <br />i �s1 oln <br />Finance De�plar�tment, License D*v <br />21660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-70316 <br />@I <br />Massage Therapy Establishment License Application <br />- � I- --, - - - ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- mw;�� <br />kjl <br />L <br />Business, Phone ia.- &qs-- Eia?:H <br />Email Address -A <br />Person to Contact in Regard to Business License,:, <br />Legal Name- !I <br />1 hereby apply for the following license(s) for the term of one year, beginning July 1, a-0 t and ending <br />r "It /j I <br />June 3 1, in the City of Roseville, County of'Ramsey, and State of' Minnesota. <br />Massage Therapy Establishment <br />$13100.010 <br />� .00 Background Cheek <br />(new license, only) <br />The undersigned applicant makes this applicafion pursuant to all the laws, of the State of Minnesota and regul�tion <br />I <br />as the Council of the City of Rosevi"Ile may from time to, time prescribe, includin, M innesota Statue #1761.18i2. k <br />4 6 <br />addition. the gpplicant acknowledges. that they are, responsible for reviewing the gackeround and work hist,ory of <br />their emi3loyees, including those that have received a, massne therapist license, from the, Cily, <br />