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�� �� ' ° � + � �+ �_ <br />�� � City of Rase��ile <br />�� <br />. [� ��;�.•� Fina�ce Dep�rfiment, Lgceus� Divf�ion <br />�-/ 2G60 Civae Ce�i�r Drive, Roseville, M�t 55�13 <br />(G51} 79��-7Q34 <br />V��. � i��l--- <br />N�a��a�;e The�°ap� E��ablishment I.��cen�e Applicat��� <br />Business Nazne �� � � � (�t � � O1 �--� � �� � �.. �-- � '�Z 1l ��`l �` t/ � <br />$usiness Address � � � � k-� � (� � Y� � �� �„ U. �� 1 "� � �.,� L :` i� K G (�� <br />�usiness pk�one l� � � � � � � - � � � 1 ' � X--' �'" � e � �� <br />Email Address <br />Ferson to Co�ztact in I�egard to Business License: <br />i,egal Na�ne � 'J"' l �. i_:� lr1 �C �'.-i� P V� ! J � J �. �--.. � �' J"�'� � � � �- � � � <br />Address ^ <br />Phane <br />�' <br />Dri�ex�s License Ntuxaber <br />- v � � ��/ �...] I,JitLC.l]] Fj1i131 " ' ' " �'-i� I <br />I hereby apply �or t3�e followang 1ic�nse(s) �ar th� t�rm of one year, begirzning Ju1y 1, � a��, and ending June <br />31, ��,� �.�a , in tlie CiYy af Roseville, County o� Ramsey, �tate of Minnesota. ' <br />Licestse Re uired <br />Fee <br />Massage Therapy Establish�nent $300.�0 <br />$154A0 Background Check <br />(new Iicensa only) <br />Tk!e �nc�ersigned applzcant mak�s this appl.i�ation€ pursuai�t to all t�.e laws o� the State of Mzruiesota and regulatiaz� as <br />the Council of the City of Roser�ille may frozn time io t�e prescribe, includir�� Mazai�esota Statua �17G.182. <br />�..�����,�_1��t�� ��,(�E--�.��1--�� <br />Signatur� <br />Date <br />#� €�� � <br />��co�n�Ieted license sl�fluld be mailed svmevvhere ot�er than the business address, �lease advise. <br />