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��� � .�� <br />�. <br />���� �� �e������� <br />F��aan�� ��part�en�, ��ce�e Di��f�n <br />266� ���v��° ��n��� I?�v�, �.�a��vill�, � 5S1 �3 <br />�651) '�9�-7034 <br />�VI���ag� �"��rapy �E��ibli� ��t I,ic���� .�ppli�a���n <br />Business l�a�e L,-�' ' <br />�usiness Adciress _. ��� ��. �' <br />Business lPhone <br />Email Address <br />, , <br />�:: �� i �'����'� <br />Person to �'ontact in Regard to Busine.rs �,icense: <br />f<< E a r'z � „ � , � �, <br />Legal Narn�; , � - <br />Adslress _ ' ._ . _ � . . . __�__m__,�.�. � �, u � � �' � � � <br />Phoz�� " ' _-� •. �sa�� oi �skxtin �.- � � �-- <br />Drivers Lacense Nurnber <br />I hereby �pply for the follor�ring licea�se(s) f�r the ��rm oF one year, be�inning July 1, ��� ,�d ending <br />�une 3I, �'3`�... ___.> in �ae City crf Rcrsevilie, Coun� of Ramsey, an� 5taie o� N�innesota. <br />L'z�ea�se 1��qarir�a� <br />Massag� Tk�erapy �stabiis[�zent <br />�'� <br />��oa.�o <br />�l5n.f�a �3ackground Check <br />(new license ant�r) <br />�'he undersi�ed applicanE mak�s tdus applic;atior� pu�rsuant tn ali fhe Iavvs o� i:�e State pf Minn�sa#a arzd re��tlation <br />as �1ae Coanci� oi �he City of iZoseville rnay ��ro�► taane �c� time prescribe, ancluding Ntinnesnia Sec�tue #176.182. i�s <br />addit�pn �e a l�ca t ac rrwled es �ha� the are res onsible �or reviewin t�e back z'ound and �voz'� �isE�r af <br />t�eir em Ia ees i�tc�uc�ira tl�ose that k�ave rec�ived a xnassa e i�era ist Iic�ns� from ihe �it . <br />r� « ,� m • • <br />��� ; , � �� <br />S��ati�re � f, � %" �t. ��� �� �r <br />�a�c .� `� �� � ✓ <br />I� ca��alet� �ic���� ��o�al� �ae �aii�dl �oa��w�rexe �t�er �i�� �� lb�sa�e�s ad��ress, please ad�is�. <br />