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L]61111G1C] il.1�FlLI'dl4 oilicuv� ts;,�i:g� HCl i�Hl.i� ;S/VV� ra,X �erver <br />96/01/�009 10:37 6516361784 PETSMART PAGE 02/04 <br />City of Rosevi!!e : ' <br />�'��aance De�at�tment, License Division � <br />2660 Civie Center Drive, Roseviile, MN 55�.�3 <br />(65�.) '�9Z-7036 <br />�eterinarian E��minatian & �z�oculation. Center License Applic�t�un <br />Susiness Name � C�. r j � ' I !� � � �.� �p�,� <br />,{ <br />Business Address O' `"l 0 (J G /" � ., / / l -� �'S�/ � �o� �F � f <br />�usir�ess Phone <br />i,._ , ' � . �-. <br />Ei��ai1 Ad�.rnss <br />Person to Confact in Regard to Business Lrcense � <br />� <br />Name <br />.1—.,. - <br />Address ` ,� <br />�-�-- J ...— u - - <br />Phone <br />I hereby appEy for the �ollowing license(s) �'or the term flf one y�az, beginning luly 1, b� , and ending Iune <br />3Q, '(�10 in the City of Roseville, County of Ramsey, State of Minnesota, <br />License lienuired Fee <br />'Veterinsrian Examination & Lnoculation Centc� $13Q,00 <br />Tht under5igned applicant ms�es this applicatio� pursusrlt to a]E the laws of the State of Minnesota a1'�d regt�lation as <br />thc Counc�l of the City oFAoseva�ae may frarn tirne to [ime prescribe, including Minnesoca statue #�7b.182. <br />5ig�ature ,E�,�Q�YL� �Q¢ <br />Date �p j <br />Ttt' completed liceqse should be r�s�led somewFiere other fhag the busiriess a3dress, p�ease�sd�ise. <br />