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Business Address, ii j <br />v r-- <br />3 <br />Business Phone <br />Email Address <br />Person to Contact i i n Regard to Business License: <br />Legal Name <br />Address <br />P'hon�e Datic of Birth- <br />Drivers License Number <br />I he'reby apply for the following lic�ense(s) for the term of one year, beginning July 1, and ending <br />June 3 1, a 00q ... , in the City of Roseville, County of Ramsey, and, State of Minnesota. <br />.License Reqm*red- <br />Massage Therapy Establishment <br />.1 <br />F ee <br />$300-00 <br />$150.00 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 the City of Roseville may from time to time prescribe, Including Minnesota Statue 4176.182. In <br />addition, the anulicant ac <br />knowledizes that they are resT)onsible for-reviewing the backpround and work history of <br />If completed license shout .1d be mailed somewhere other than the business address, please advise, <br />- I L.," , - <br />