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City of Rosevffle <br />a A <br />Finance Department, License Division <br />0 a <br />0.1,660 Civic Center Drive, Rosevifle, MN 55113 <br />(651) 792,7036 <br />E I <br />ma'i Address <br />Person, to Contact in Regard to Business License,:; <br />r.4gal Name aJ <br />. IV I <br />Address Op <br />one <br />Drivers Ueense Number <br />I <br />Daft of Blirffi <br />I hereby apply for the follow Ing ficense(s) for the term of one year, be 9 July 1, . . . . . . . and ending <br />4 <br />June 31 in ffie City of Roseville, County of'Ram ey, and State, of Minnesota. <br />Massage 'Thempy &Ubfishment <br />I NP-1 .9 <br />$300.00 <br />$150.00 Background Check <br />(new license onli <br />The undersigned applicant makes this application pursuant to, all the laws of the State of ota and regulation <br />J s, the Council, of the C,i,ty of Roseville mq from time, to time prescribe inclu I Min�esota Statue #176.182. k <br />. I .' ludIlaaawnd ggd work &to <br />0, fte Wh admowledees that 1he arr, resvonsibl� for re h <br />additi �cant the <br />d <br />their emblovees. includine those that have received a massa ffieranist license fi%nidhe Citv- <br />17= M, MW 77-3 <br />