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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 />Veterinarian Examination & Inoculation Center License Application <br />Business Name ��'��� �}_•.���� � <br />� �� �� �� � x � <br />Business Address '.l-w�J �� �� � ��,t ����{� �����y � �� fr_ <br />Business Phone ��j � � �� � �' �,�{� �. <br />, , _ --, �' <br />Email Address <br />Person to Contact in Regard to Business Licerzse: <br />T� �mc ��f���b ��l�e��-� � f f_�J(,�.�1}+'� d�ki�:r ���,.��, �� � �� �����r � �,I�}�f�f.1�� r ��;��' <br />A��r�.�_.. ��� ��` � �x ������ ,�:��, �' ���' � k�'�lk�,� r`�� ��r� � ������ ������ �, � <br />P]i�n� �� �� � � � ~ ���� �- - � <br />I hereby apply far the following license(s} far the tenn of one year, beginning July 1, ��• �' , and ending June <br />30, ,�,��, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Eee <br />Veterinarian Examination &. Inoculation Center $130.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescriber includin� Minnesota Statue #176,182. <br />� �ff,,i; ��J�J I <br />�I�T_3CUfiC � . �I""ti/� 4#�--_�' � � I �` *'4•���F�J <br />� <br />T�� ���� ���,�� <br />ff completed license should be mailed somewhere other than the business address, please advise. <br />