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C��Y �F R�SEVaL��, �TNNESOTA <br />��NEWAL �OR P�i�N' SHOF/PRECI��S METAL DEALER L�CENSE <br />Part � � G�n�ra� ��£orma�io� <br />(Ja�uary �., 2008 �hrcr�g�. Dec�m.b�r 3�., 2048 } <br />D��'ect�.cJrl� : <br />Plaase cample�e wit�. �ypewx�.�.er or by pr�.�.�i�g �.� �.�ak. Tf the <br />appl�.catzon i� by a na�ural pe�son, by su�h person, if by a <br />cc�.�porat�n�, b� an o�f�cer thereo�; if by a�a�tz��rsh�.p, by or�.e o� <br />the pa��cners ; if by an unir�co�-pa�a�ed ass�aciatior�, �y �he man�ger <br />a� man�ga.�.g pfficer thereof . <br />�. <br />2. <br />Name of App�ic��t (n�me n� ��di.v�.dua�, partne��hip, <br />carporat�.nn, ar association): <br />Pawn America Minnesota, L.L.C. <br />f�f In.di.vida.�.�.�.) LAST F'�RST FULL MiUDLE NA�YiE <br />Na�e under which �pplicant wil�. be doing business, b�tasir�css <br />addr�ss, a�d �;elephane nrx�ber. <br />�ull Name Pawn ,America Minnesata L.L.C./Pawn Amerir�� <br />Bus�.�ess Addr��s 181 River Ricige Circle S., Burnsv�.11e, NiN 55.�37 <br />Business Telephax�.e 952-546�-1760 <br />3. Type o� Applicant: <br />�ndi�idual <br />Associat�on <br />�artnership <br />Cc�rparation. <br />Limited L�.aba.li�v Garra�ar�� ��her. <br />� . 'I'ype of Ii�e�.�e app�. �.ca�� see�cs : <br />fiype a� L�.��ras�dPe�.it <br />F�e Pe�' �'E:c�.7c' <br />Pawn Shop �10, €�€�4 . 04 <br />P�-ecious Metal Dealer ��.0, fl4i}. QO <br />XX Paw� Shop ar�d Preeious Me�al $1.3,fl0[�.0� <br />I]��.le� <br />5. A. If app�.�.can� is an individual, state ful�. narr��, r�sidexa.e� <br />and bu��ness add.r�ss, and �elephone numbers_ <br />Name <br />�A�T <br />�ate of Birth <br />Res�deaca.�e Add�ess <br />F:�R�T <br />FUifL �f�D�LE NA�E <br />