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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 />BusinessName ���f,��*�,�5�� ,_ _ _ _ <br />�14S�iT�1 � ����l�I��A�� +�JJh�+� �l�,p�� <br />�i ��,��� ��a��4�� } �r� <br />Business Address _ _ ��. � �� �� _ _ ��� � <br />L�E.14l�I �,5113 <br />� ' <br />Business Phone � .� � — �r �_� •�� ,� � �?..,�. ' _ <br />. � <br />Email Address <br />Person to Contact in Regard to Business License: <br />- - � r _ _. .' ���� <br />�lar.-.: ,.� ? �-�.��'-� - � { �� <br />_ . . �� �r. � I �+ � <br />.'ldrl i �:�� ��r� ___ � <br />Phone �' � � <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, , and ending <br />June 30, , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Veterinary Hospital $80.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may froin time to ti:��.t ;��i��Lti _�� ��L: �;�.,� I ��t! � i7 ��� 7:! 17t 5ti' �:i �{r,t�.r: ': ��{, ,� a <br />,� ��� , �� <br />� <br />Signature _ f�_���.� <br />�'�y. � ���`� <br />17otc �'� ,� � ,- � � <br />- r� � • •• - -- - <br />If completed license should be mailed somewhere other than the business address, please advise. <br />� <br />