Laserfiche WebLink
��� <br />� <br />��� �� �tt.�a����Il� <br />�+"��a�ce I)ep����r�t9 LflC���� ���'151�1i <br />266a ��v�� C�n���° Il�°�ve, �����ill�, l�N 5��7.3 <br />�f5�j 792-70�4 <br />i1�i���a�� '�`��r°��ay ��t�b���hm��� ��e���� Appl��a��o� <br />Business Nar�e: Al��a� �t��g� �����c�� �.�C <br />Btzszness Address: �961 �i�� S� R���rri91�, MN 5��°�3 5�6�� �202 <br />B�€siness �'hone: 6�� -�29�4�63 <br />Eznai� .A.dd�ress: <br />Person to Contact in Regard to Business License: <br />Legal Naz�ae <br />�dd�'esso ° <br />Phane _ <br />I��vers Lice�ase �it�bet�. <br />73ate r�f Birl;h: <br />I he�eby apply for the %llowing �ice�zse{s) f�x t�� ie� of on� yeax, begirming �uly 1, <br />2007, a�d endz�g Ttu�e � l, 2008, i� t�e City of R.ose�vilie, County of I�az�nsey, and S�a.te o� <br />Mi�esnta. <br />L'a�e�n�� R�e��a�-��1 <br />I�assa�;e Thera�y Estaa�lis�xn��zt <br />�'e� <br />$300.00 <br />$ I5f�.0(} �ac�gra�znd �Chec1� <br />(�ew license or�ly) <br />The unde:rsig�ed appli�a.z�t �akes �is applica�ivr� �u�suaxat tcr alI �h� laws of the State a�' <br />l�innesota aand r�gulation as the Co�tt�il a�the �i�y af Kosevill� may from time io 1:iar�� <br />prescri�e, includ'zng I1/�innesota �ta�ue #175.I$2. �n additior�, the applicant acitnow�edges <br />t�tat t�ey are �espor�sible foz' reviewiz�g tkze b�ckgrauncl and �rork histary c��their <br />emp�oy�es, �ncl�di�ag i�ZOSe t.�at iaave received a�assage th��apist license fro�z the �ify. <br />r <br />�ignah�re �y/� �--" <br />�ate /� - .. c <br />T�c���l���a� ������� ��a�a�l� be �����d ������e�°� a��e�° ���� t�� b�����s� ��al�°���9 <br />p����� ������o <br />