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Ernail Address <br />Person to Contact in Regard to Business License.- <br />Name <br />Address, <br />Phone <br />I hereby a ly for the following license(s) for the term of one year, beginning July 1, d' and endincr June <br />0 ill the it of koseville, County of Ranisey, State of M.- <br />License Reguirecd, Fee <br />Veterinarian Examination & Inoculation Center S130.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of' Rosevil,le ma. from time to time prescribe,, including Minnesota Statue #176.182. <br />Y 4.. <br />Signature OA1 rfi DAUY <br />Date IrN <br />If completed license should be mailed somewhere other than th.e business address, please advise. <br />M <br />