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rMOGNMUMM <br />ri N W� <br />Business Phone <br />E,mail Address <br /><t *07 04of- <br />'WOW <br />I hereby apply for the following license(s) for the terin of'' or year, beginning J'uly 1, and ending <br />June 31 V I in the City of Roseville, C,ou,nty of Ramsey, and State of Minnesota. <br />Signature <br />6-01' <br />02 <br />D�ate r�--7d? 4w <br />If' compileted license should be mauled somewhere other than the business address, pilease advise, <br />