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Attachment A <br />City of Rosevil�e <br />Finance Department, �,icense Division <br />2660 Civic Center Drive, Roseville, MN 551i3 <br />(6S1) 792�-703� <br />Veterinary Hospita! Appiication <br />B��siness Name �J � � '�"Y�1 C;� �tll ; C"��i '� l� ; ['� �-}� ; i G� E <br />Business Address � y `�Z7 L� n 4Z�,,� �.� ���:1� <br />- M�1 SS1�3 <br />Business P��o»e <br />Emai! Address _.. � � <br />Person to Contact. irz Regard to f3usiness License: <br />_ r, <br />�1ame <br />Address <br />---.— <br />Phoile <br />I hereby ap�ly for the following license(s) far the teni� of one year, begi��.ning July l, Z[.�U �7 , and ending <br />J�ine 30, Z t� 1 U , i�3 the City of Roseville, County of Ranlsey, State af Minnesata. <br />License Reguired I+ee <br />Veterii�ary Hospital $80.00 <br />The u»dersigned appIicant �i.�akes this application pursuant to all the laws of the StaEe inn a and regulatio� <br />as the Council aFtk�e City of Roseville n�ay f�on� tin�e to time prescribe, ine�udi in a Statue #176.182. <br />Signahtre <br />Date G /� S / v � <br />If cot��leted lice�nse sh�uid be nzaiied some�vhere other than ihe business adclress, piease acivise. <br />