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WAS 4 Wj on <br />City of Roseville <br />Ili 0 a <br />Finance Department, License Division C JTP <br />2660: Civic Center Drive, Roseville, MN 55113: qjq, 4e7 I <br />(651) 7:92-7036 <br />Drivers License Number <br />1 1 112. 0 � I and ending <br />I bereby apply for the following" lic,ense,(s) for the term of one year, beginning july 1, <br />June3l, in the City of Roseville, County of Ramsey, and, State of Minnesota. <br />i <br />M'a,ss,age Therapy Establishment <br />Ch 15'0.00 Background Check <br />(new license only) <br />AL dol V <br />• <br />11111W <br />men 54 <br />o sTs' OR" 1,1511 11122 <br />na <br />ir <br />11111M, 1!111. 11111111"IM <br />Date <br />If completed license should be mailed somewhere other than the business address, please advise. <br />