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� ��t <br />� ���i.� <br />�4', <br />��� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Massage Therapy Establishment License Application <br />. . ��� <br />ii�:.si'�titi ti7i7:} _.� f�Q �_ f}y���' r" � �� � <br />�ll�lf'�CF,€ r5{:{�:�� � ��� ' d� � ��� K'� �� � �� <br />Business Phone �,�J.*��r � �*�� ����� <br />�mail Address _��� <br />Pe1'son to Contact n� Regard to 13usiness License <br />L��al V,�„e _ ����� � � � f���. � � ��J����— - - • • • <br />r f�5 � t �� <br />r5{�{�;�','a'a �� � ff � {�� � 1L_7-+ �� I � _" ' <br />I"_..._ <br />F <br />�°�,���.�� �f �� �i�r� � � � �� L}a�fi of �ir�h � x ���� � <br />Drivers License Number����� <br />I�������•'•�3r �-� :r1�� t�� the following license(s) for the term of ore year, beginning July 1, ��� �_, and ending June <br />31, ���, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Eee <br />Massage Therapy Establishment $300.00 <br />$150.00 Bacicground Checic <br />(new license only) <br />The undersigned applicant malces this application pursuant to all the laws of tt�c State of Minnesota and regulation as <br />the Council of flte City of Roseville may fronl time to time prescribe, �:��c1at�?rr�,�'J:i•:.::�ttii,•. Statue'#176.182. <br />_ _ � _ _ _ f. --� <br />�I�'_1LL�JPC " --- y �� <br />. . r. � <br />�9�C � , ~ �*�I 5 � <br />���� <br />I <br />If completed license should be mailed somewhere other than the business address, please advise. <br />