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13u�i�,�s� �E,1_av <br />F3�asir,�s� }��dr�ss <br />.Fi��inc� L�h�nc <br />Ema�! �ddres.� <br />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 />�� � � ���.�J <br />, , <br />r, � ��, 7 �-. 2� � _ ��' _ '�'� `�} r fi.��� ��f. �-.� <br />�d �.� ,ir�_ ,��'df��.� ��* �i ��.r�`� � � <br />��� ��- � � _� - � �*� ��-- - — <br />��f� <br />ht:�•S'CI•'i t�l ���J�Ir••'�r li! �P��FY� �t� fl�i°�11:'.5.+ ?.:�'�?iI.S°: <br />Name ��.� :� i� : ��I�t. <br />Address ��� 'k � '�- <br />Phone . ! 't �� �'-C_- <br />I hereby apply for the following license(s} for the tez-�n of one year, beginning July 1, �s �%c��,� , and ending <br />June 30, cJ-c• c'� � , in the Cily of Roseville, County af Ramsey, State of Iviinneso�a. <br />License Required <br />Vetez•ina�y Hospital <br />Fee <br />$80.00 <br />The undersigned applicant inalces this application �urs����t �, 3Jl thc law�s �f �c ��t�tc �af ��liar.�sc�La �:�1 r: 4�4�:tL <br />as the Council of the City of Roseville n��y fi-om iimc ir� fia� k irat:.]� in� [�•� i� �r �,� �' � u t''�,1 ��. <br />� <br />���r.n�turc {� . ..� ��� �r• ���,r ---� ---- <br />Date �'I — � ~ � �� <br />If completed license should be n�ailed somewhere other than the business address, please advise. <br />