Laserfiche WebLink
c�ty af �os������ <br />Finanee Department, License Div�sion <br />266Q Civic Cente� I3rive, Roseville, MN 55113 <br />(651) 792-7036 <br />�eterinary Hospital Application <br />Business Name <br />Business Add�'ess <br />Busii�ess Phone <br />En�ail .Address <br />�':�,t � �';: � � �,�f��'��'� _ ``.'��_�� r:_ ��� <br />�`-. � � �� /��. � h/ �.� / � r .�� �r � �'� r� f <br />��"��i /'`� f%•�., <br />_ ,���� � � <br />Per.son to Colttact iti Re�ard to Busis�ess Lice�ise: <br />NaE�ie ��/' ��:�1� /',1�� �. <br />� <br />Address <br />�?hone � .. <br />I herei�y apply for the fo]]ov��itZg license�s) for the te�5ii oFone year, begi�ning 7uly ];,� � G i , and ending <br />Ju��e 30, ,�- tl 1�% , in t�ie City a.f Roseville, Co��nty of Ramsey; State of Min�iesota. <br />License Re uire�l <br />Veteeinary HospiCai <br />Fee <br />$80.00 <br />Tl�e u►�dersi�ned applicarlt makes this appli.cation pu�sttatit to al] the laws of the Staie of M.innesata and regulation <br />as ihe �oimcil oi the City of Roseuille nlay fi-on� �ime to time prescribe � c udin Minnesota �'�aiue #I76.182. <br />; `. �� <br />S1�TIta�iilE �. %�r'!�' �• ��f,'` :�_,/9;! <br />.5 . <br />i � _ J f- <br />Date �) <br />�f completed license sliould be mailed somewl�.ere otlfer tt�an the business address, please advise. <br />