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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 />BusinessName <br />Business Address <br />i� un I ��ess 1'1ti�:..�.��j l_����� � <br />En7a il �ddie�� <br />�UBI.Ff�9.�t� ANI1�1A� h�SPITA� <br />_ .. ��1 �I F4?G����.. . <br />H��E�+I�L�. MN 5$�73 <br />Person to Contact in Regard to Business License: <br />Nan3e � � �.���-^�- <br />f�� �.I i a�� �I�E�L� F�I�r1;�' �.. �., �: � . .,��}` <br />•- -•- -.. _ .._ . . _ . .._. 25�1 C +L� „ r ' • — <br />Pho�le ROSEVILLE, MN 55113 <br />I hereby apply for the following license{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 Required <br />Veterinary Hospital <br />F�e <br />$80.00 <br />The undersigned applicant makes 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 time prescribe, including Minnesota Statue #176, �$2. <br />f <br />n <br />Signature � l �� �- �� -���- _� <br />I]sl� �� ���`'� <br />_ , � ._ ��... — <br />If completed license should be mailed somewhere other than the business address, please advise. <br />