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CITY OF 1������LEB ����'�. <br />1�� FOR F��N S�O�/I��.�C�OD'� ��►Ir �3��� ����},T�� <br />Part I - General ��fo�a�a.0aa <br />(January l, ��L�� through December 31, 2007 ) <br />Directions: <br />Please complete with typewriter or by printing in ink. If the <br />application is by a natural person, by such person; if by a <br />corporation, by an officer thereof; if by a partnership, by one of <br />the partners; if by an unincorporated association, L�+ i_t,� nr,�n���� <br />or managing officer thereof. <br />1� Name of Applicant (name of individual, partnership, <br />corporation, or association): <br />Pawn Arrerica Mixuiesota, L.L.C. <br />(If Individual) LAST FIRST PULL MIDDLE I�J�fE <br />�. Name under which applicant will be doing business, business <br />address, and telephone number: <br />Full Name Pawn Arrerica Mix�xiesota, L.L.C,/�'awn America <br />Business Address 181 River Ridge Cir�le S., Burn�vi�7.e, i�1� ���37 <br />Business Telephone 952-646-1760 <br />�. Type of Applicant: <br />Individual Partnership Corporation <br />Association Limited Liabilitv Gompanv Other <br />{+ Type of license applicant seeks: <br />Type of Licezas�/��r�ta.� <br />Fee Per Year <br />Pawn Shop Y� C� r��� �_�� <br />Precious Metal Dealer $ i C� r„�fr� ,-�� <br />� Pawn Shop and Precious Metal $1� r;1;1 ^. r��� <br />Deal�r <br />�. A. If applicant is an individual, state full name, residence <br />and business address, and telephone numbers: <br />Name <br />LAST FIRST FSTI�L MIDDLE �'.�,a�: <br />Date of Birth <br />Residence Address <br />