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City of Roseviile <br />�inance Department, License Division <br />Zb60 Civic Center Drive,l2osev�lle; MN 551 �3 <br />(65l ) 792-7036 <br />Veterinarian Examina.tion &�nocuia�ion Cente�- License Ap�licaiivn <br />Business ?*?ame <br />Business ,Address <br />Susi��ess Phone <br />F,tr.ail Address <br />PETCO #6Q2 <br />2575 L�T: F'ARIVIEW AVENUE. RO�EVILLE <br />(651)636-$806 <br />1V/A <br />511 <br />Person io Cor:taci in Regard !o I3usit�ess License: <br />1�an�e LAURA E. MOULTON, LICENSING & COMPL,IANCE SPECTALIST <br />Address <br />�ilOi10 <br />n� � . -- <br />� 6 r r <br />i hereby apply for the following iicense(s) far the term of ane year, beginnin� July 1, 2 0 09 , and enc3ing 7une <br />30, 2 O 1 0 , iri the City of Roseviile, County af Ramsey, State of Minnesota. <br />Gicense Required Fee <br />Veteririarian Examina£ion & Inoculakion Center $130.40 <br />"rhe undersigned applicanf makes this application pursuant to all the laws of the State of h�iint�esota �nd regulation as <br />the Cauncil of the City of IZoseville may from time to time prescr' , includirrg i��nesota 5tatue i�17G.182. <br />1 C.� , i �--� �� <br />Signats� e �'�(..i�[.C-�1`ii <br />Date %� � <br />If cotnpletaci iicense shouid be maited so�newhere ot}�er tiiat� flie l���siness add�`ess, �fease advise: <br />