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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 />�Jtisiii�xti �;�ill�' — — — �� ���.Ct��.i� �� �.' I rY1 t�� �* �i , �l �] '� k �{� �x ; i'�' �_ <br />. _ ..._ _ ' -�L- _ ' _ _ _ � � <br />Business Address � '�-�- 7 �� l��l.�i�v i �.n�� � �,� � ��, � ��.; � � �.'� �� �= f�Jl� I <br />Business Phone <br />Email Address <br />r <br />�`. �� � �� 4� i'• � �- � � <br />Person to Contact in Regard to Business License: <br />M1 <br />Name � �� rrl,'r�'-: ;3 � l.;��_� �•. ; f�a .f `- <br />, <br />+�{�11' ey � ti � -� '? � �•� ��� �+ d �� �i f+c] �r �" �� ��i +J k L� sl i � '� � � �2�; t' � � <br />- - - — - - • - -- ' -- -- r � <br />- • — — ,,aS'�-r� <br />� <br />l�l.�n� �� j_I �, {� � — '� ,}-�� �i <br />I hereby apply for the following lieense{s} for tlte tenn of one year, beginning Juiy 1, _� ��<�• •.�� , and ending <br />June 30, ��; �'� �1 , in the City of I'toseviIle, County of Ramsey, State of Minnesota. <br />License Rec�tiired <br />Veterinary Hospital <br />���.e <br />�k�[�.�G <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation <br />as tl�e Council ofthe City of Roseville may from time to time �rt�;is�'; including Iv�%nnesota Statue #176.I82. <br />� r �i <br />�i�rna�ire �.�,�� <br />��� <br />Date { { " � � ~ � 5 � <br />If completed license sl�ould be inaifed somewhere other tl�an tlie business address, please advise. <br />