Laserfiche WebLink
��;;0 <br />��� <br />City of Ros�ville <br />Finance Department, License Division <br />2660 Civic Center Drive, Rase�ville, MN 55113 <br />(651) 792-7036 <br />Massage Therapy Establishment �,icense Applicat�on <br />Business Naine � �t�i� � ��-4 � t � �.a f_ J �'i�L �� �'�L <br />Business Address <br />Busi�ess Phone <br />Email Address <br />z��wco�.� <br />a �,-V�- �•�`5'�t�'�3 <br />_ {� . �r ` �-( � �z _ � �S 1; . � �s r �� �2 ���G � <br />� <br />� <br />Person to Cont�ict in Regarct 10 gacsiness Gicense: <br />L,egal [�Ia��e __ _ � �� (1� "v-C-li� <br />1 <br />A[�d C�55 <br />Phone ,r � <br />Drivers L.icense Number �- <br />/ � 1/��-Ga �J � <br />� � . �� / <br />- � . <br />. , L G <br />. A <br />� <br />I hereby ap I.y for the fallowing [icense(s) tar the term of on.e year, beginning July 1, ��� , and ending <br />June 31, �, in the City of Raseville, County of Ramsey, and State of Minnesota. <br />Massage Therapy �stablishment <br />�ee <br />�300.00 <br />$150.Oa Background Check <br />(new license only) <br />r - �- i .�-�� <br />The undersigned applicant makes this application pursuant to all the laws of the Stale of Minnesota and regulation <br />as the CounciE of the City of Rosevil[e rnay from ti�ne to time prescribe, incEuding 1Vlinnesota Statu.e #176.182. � <br />ad.dition, the applicant acknowied�es that they are responsible for reviewing the bac[��raund and work E�istorV of <br />t�eir emn[ovees, includin� those that have received a rnassa�e iheranist lice�se fr�rn the� Citv. <br />5ignature <br />Date �/"G � � � d d � <br />I[ completed li.cense should he ma�led somewhere other than the business address, piease advise. <br />