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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 • <br />Veterinary Hospital Application <br />Business Name i, � ��. � �'lr r � � �� ��.'� � �� � } r� � �.� ��' <br />�,��,� . <br />13li�iri�s� ."���ixt'�� ,��{� �'�_„r,�i�,{,��. `��� � r � � � .�:� �- (���% �- <br />Business Phone � 1���;� �l •� L� G� i� <br />�mail Address J�� ���}� <br />Person to Gontae2 in Regard to Business License: <br />� <br />��T]il: � ��_ � 1 +�� +. �fi_�� <br />Address _�.�� �'�+ �� <br />Phone <br />�. hereby apply for the following Iieense(s} for the term of one year, beginning July 1, ��� � , and ending <br />June 30, .-:� �� , in the City of Roseville, County of Ra�nsey, State of Minnesota. <br />License Required <br />Veterinary Hospital <br />Fee <br />$80.00 <br />The undersigned applicant makes this application }7€u-su�,ert �� �?? �}�� ��ws +�� r�ic ����r. r��?�1 E i3 . oLt :��r� at��?aE�n <br />as the Council of the City of Roseville may from time to r�ime �resu�e, ii���,�dir�� ��1'��n��. �r�t�r� �x x�r. ��4�. <br />� � <br />� i �i7 7;ti:r �t`�w��,�'•. <br />� r � �� f�. <br />r��r� �--`f — { �—�— — — — — <br />If completed license should be mailed somewhere other than the business address, please advise. <br />