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CITY OF ROSEVILLE <br />FINANCE DEPARTMENT, LICENSE DIVISION <br />2660 CIVIC CENTER DR, ROSEVILLE, MN 55113 <br />(651) 490-2212 <br />VETERINARY HOSPITAL LICENSE APPLICATION <br />: i i � �� .�� r� � <br />BusnvESS ,�DxESS �2 � � o .I�/'� � L � ,� ��,�R vv il/. <br />��P o rc, �/'1 �-� , /1�,� <br />BUSINESS PHONE �, �f'/ — h .3� - �l,F� Ll <br />PERSON TO CQNTACT M REGARD TO BUSINESS LICENSE: <br />NAME <br />ADDRESS <br />PHONE <br />LAST <br />I hereby apply f r the following license 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 REOUIRED: <br />� <br />FEE <br />VETERINARY HOSPITAL 580.00 <br />The undersigned applicant makes this application pursuant to a!l the laws of the State of Minnesota and <br />regulations as the Council of the City of Roseville may from time to time prescribe, including Minnesota <br />Statue # 176.182. <br />Signature <br />Date �— i -� 0 y <br />**If completed license shoutd be mailed somewhere other than the business address, please advise. <br />Receipt # <br />