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CITY OF ROSEVILLE, MINNESOTA <br />RENEWAL FOR PAWN SHOP/PRECIOUS METAL DEALER LICENSE <br />Part I - General Information <br />(January i, ���rr.� � through December 31, ������} <br />Directions= <br />Please complete with typewriter or by printing in ink. If the <br />application is by a natural person, by such person; if by a <br />corporation, by an officer thereof; if by a partnership, by one of <br />the partners; if by an unincorporated association, by the manager <br />or managing officer thereof. <br />I. Name of Applicant (name of individual, partnership, <br />corporation, or association): <br />Pawn America Nlinnesota, L.L.C. <br />(If Individual) LAST FIRST FULL MIDDLE NAME <br />�. Name under which applicant will be doing business, business <br />address, and telephone number: <br />Ful1 Name �� �ica Mir�iesota, L. L. C. /Pawn America <br />�� �.} �3�� � � _�� �� � � 181 River Ridge Circle S . , Burrisville, MN 55337 <br />1��:�i_�•_�:� Trt�_{���t«ar��� <br />_. Type of Applicant: <br />Individual <br />Association <br />.,� µr.L_, <br />s.:_-.� _ 1 :J <br />Partnership <br />Corporation <br />Limited Liability Ca�pany Other <br />=�. Type of license applicant seeks: <br />Type of L�.c�nse/Permit <br />Pawn Shop <br />Precious Metal Dealer <br />� Pawn Shop and Precious Metal <br />Dealer <br />Fee Per Year <br />�L�,�7i G.O� <br />�10 � i]�+� . �� <br />vl� � ���� . �� <br />5. A. If applicant is an individual, state full name, residence <br />and business address, and telephone numbers: <br />Name <br />LAST <br />Date of Birth <br />Residence Address <br />FIRST <br />FULL MIDDLE NAME <br />