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2007_0507_packet
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2007_0507_packet
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Last modified
1/10/2012 12:38:43 PM
Creation date
8/26/2009 3:21:49 PM
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Roseville City Council
Document Type
Council Agenda/Packets
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��j�� — <br />� <br />�`Irty nt' i��w�e�l1� <br />�'iei�n� �artm�#r �,ic�rrse ���is�on <br />�6fi� �'�vic �'enier l�ri k�e, l�i���tlle, �r'ihY �� 11� <br />�6�1 p ��-7f1�'� <br />ll�i�`��r� '�i'I���p�' ��h�is� nt��t iri�ert�� �ip��i�#i�n <br />r���E��. r��� � ���� � _ �;� � ����� �� T��� <br />������.�� ��� ;. � � ?. _ � �� � �: _ <br />�it�wl fIc35 �j1�71 �C — . _ �'. � . � ' i �t �y '�� `� � .. . — _ ' _ <br />�ma�l Address <br />Person to Contact in Regard to Business License: <br />�d`•�;i��i�FFR'•— .����_--•�-f•�{�`t��L <br />Address <br />Phone <br />Drivers License Number <br />. , <br />Date of Birth <br />I hereby apply for the followinglic�nse{s} for the term of one year, beginning July 1, ��� � , and ending <br />June 31, �� �. in the City of Roseville, County of Ramsey, and State of Minnesota. <br />License Reauired � <br />Massage Therapy Establishment $300.00 <br />$150.00 BacicgroundChecic <br />(new License only) <br />The undersigned applicant malces this application pursuant lo all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #�7�.1$2. En <br />addition. the avviicant acicnowledges that tl�r4� are responsible for reviewing the backcround and work histarv of <br />�zeir emolovees, including those that have received a massage theranist license from the Cicv. <br />_ _ � <br />. - ° � --- - <br />�i��Eur� ��~-� <br />f� <br />�� �'� �~ �� � <br />!f rnmpLetiad 1�[�rm9e �avld h� rnail�d so�e�[re otht� t�an I�e hvane� ad�r�, ¢ir-as�e ad1P� <br />
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