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CITY OF ROSEVILLE <br />FINANCE DEPARTMENT, LICENSE DIVISION <br />APPLICATION FOR <br />PAWN SHOP AND PRECIOUS METALS DEALER <br />Part I - General Information <br />For license year January 1, L.C1 � d� through December 31, �'� t <br />� NEW RENEWAL �_ <br />Directions: Please complete the application with a typewriter or by printing in ink. If the <br />application is by a natural person, by such person; if by a corporation, by an officer thereof; if by a <br />partnership, by one of the partners; if by an unincorporated association, by the manager or <br />managing officer thereof. <br />1. Name of Applicant: ��.W`�� /�� Y I�'� �'-� i�,i'Y14�1i�'�i"� �--1'� <br />(Name of uldividual/partnership/carparation/association) <br />2. <br />3. <br />Q <br />Name under which applicant will be doing business, business address, and telephone <br />number: <br />Full Name: <br />Susiness Address: <br />Business Telephone: <br />Type of Applicant: <br />Individual <br />C1.V�JYI �Yl �t�CGt, <br />Last <br />First <br />Middle <br />-- i i ) � l�,'� �('C, � �`�, ��`���..�i' I 1��,1��.I ��l I � <br />Street City � State ZIP <br />� � ►---( ��� - 1 �� � <br />Partnership Corporation Association <br />�Other (Please explain) <br />Type of License Applicant Seeks: <br />Page 1 of 10 <br />I � �(i�.- �--�� �ti�J j � ! <br />Pawn Shop $10,000 per year <br />Precious Metal Dealer $10,000 per year <br />Pawn Shop & Precious Metal Dealer $13,000 per year <br />