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�� � <br />�rl�: � � :, — �_ 1 1 <br />City of R�sev�ll� <br />Fin:�n{� 1����xr�n�4�ni, f_i{�c�u��� 13i��i�Ea�� <br />��b� �'i��i� �'���tit��� I)i�i����, I��������ilf��, �1I� 5511 � <br />���lj �+�+,�t��� <br />1������a��� T��r�t���� ��i�l�l�st��t��t�� i�i�en�� f����li���i�r� <br />.�. - .�.. <br />.- - -_ ti � . <br />'S ' y � •� . <br />Business Name __ 'a � 'ti.��;.�svytiti �� �;ti ���' �'�� _�- ' � <br />�� ` � -s - <br />�'� <br />Business Address ; � �-•�-:��� y, �� �:. . '�;���. -�- � � ti �� II � '•'� � -'� _����,Q,r `� ��1 <br />.�-•=,.,.r--- - . �� t � <br />, � <br />� ti <br />_, <br />Business Phone ��_��-�.� '�, �`•, � �� — i. : �'�'�..: � '�, . .. _. .. —� {� �� � �. <br />� _ <br />Email Address <br />Person to Contrtct in �egarcl to $usiness License: <br />Legal Name � . _ _ .__ -� � — <br />.', � :---' ,� <br />� ' � - ,'ti:�:�it�., - .. , _ ._ � — — — <br />, � , -Y <br />. � � �, <br />I�I u,r: . , _ � � . _ L�il� csF T3i�F� _ '� <br />� , . —� <br />Drivers License Number_ _ _ u � �� — <br />1 he:eby apply for the following license(s) for the tenn of one year, beginning July 1, _ Y��,�,�. and ending June <br />3 I ;�?,:� �� the City of Rosevi?le, County of Ramse„ State of Minnesota. <br />License Re uired Eee <br />Massage Therapy Establisl�ment $300.00 <br />$150.00 Bacicground Check <br />(new license only) <br />The undersigned applicant makes this application pursuant '� �:i-I 'I �. i 7ti� k•. •f i: it .�i�.it• t• f�':i_i,t �:';i ,i itl i tr�i;.iti�n i,is ._ <br />the Council of the City of Rosevil]e may from time to tiine ��i t� �t +i 4c, i ncludiis� M�r��cs�}I�i SI� ,�] 76. i�i <br />}5 � <br />Signature � _ <br />� � � {� }1 <br />D3t2 I -�5 i �. ���� � 1 'i ��� <br />- - - �-.._ ..I �_ ti y'- �� <br />If completed license should be mailed somewhere otiaer than tlae �►siness�address, please advise. <br />