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i�'d �a��1 <br />, <br />'� , ; ,, ;_ / ',- <br />,� � <br />�1�� �� ����i���� <br />�`an�ne� T?ep���em�, �ae��se ������ <br />266Q �a�� ��nt��° ��ve, R�ase�all�, �l� �5113 <br />t6�1} 792-70�4 <br />�.����� '����°a�y E� �1��� e�� ���� � .��apl����i��. <br />Business Narr3e � � E � Y� � V U E.t � � � � �. � <br />susiness ,l�c�dress <br />,� <br />� L.�-e-� [ � q � � Q � �e �10 <br />Business Phane � � � �' � � � "' � � � � <br />Email Addr�ss <br />Pe�san ta Carrtact in Re�ard tv Busi�ss Licersse: <br />Lcgal Name 1 E �R� � �'. � t f' �l� �•( � � _ <br />I• �' <br />Address , ..,_. _ . , <br />�hc�n� <br />Drivers Licanse Number <br />Uat� of B:�sth.. <br />� 1�ereby ap ly for the folFowing lieense(s) for the term of one year, beginning J�Iy %, ��� /, aqd anding <br />�une �, ��Q�, in �e City of Roseville, County Qf Raimsey, anci State of Minz�esota. <br />Li�eatse �t�quireci <br />1Vfassage Ti�erapy Establishment <br />�ee <br />$3i70,0�1 <br />$]50.0(J Sackgro�and Check <br />{new ]icense only) <br />Th� �zadersigned applicant cr�alc�s t�is applicaeion pursuant w all the laws oi ti�e State of Min��esota anc3 regulation <br />as t�� Cpuncii a� the City of �tns�vilte may frorn ti�ne to time �resc�il��, incir�ding Mix,neso� Statue #176.182. I.n <br />add#tiar�, the a licant aeknawIed es that the are res onsible for reviewin the baak raunci and wark �asto af <br />thezr et�� lo ees includin those titat have received a massa e fhera ist licez�se from tk�e Cit . <br />Signature 1 ����-�`C.��x�..� �_.,C�.[.�....�-'Q"'"'� _.__. <br />i7ate __ _ tJJ ' � � ' � [ <br />I£ cao�pNet�d lie��� s9�m�i� be m�ile� sm�e�v�ere �the� tha� t�e b�sine� adc�ress, �aleas�e adv�se. <br />��i��'d @t�:�T L���—��—Jfl� <br />