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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 />�}73�1lFGR� ��3'i!C �F�i�� �� � { V ^���f �1� �r ��� �F��f �� {�� <br />Business Address �- {� �� ���� � �� ���� f� �� <br />� <br />Business Phone _� �� t� ��.L_��� � <br />E�a�aa,i� Address ,�.��� <br />. <br />Person to Contact in Regard to Business License: <br />N� ���'� _��� f� �►'�� � <br />—..r . <br />e����l �£5 <br />Phone <br />~ 4 . . . • � <br />� <br />F <br />I hereby apply for the following liaense(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 Reaaired Fee <br />Veterinary Hospital $80.00 <br />The undersignedapplicant ma1{es this application pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to tia,c �rcw� ri , inuLu tn� [��tr�,�csr�ta �i�tuG '� �.18�. <br />r� <br />�t�atur� r� �. -. — <br />Lk�t� . -� � � � <br />. , � --� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />