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�� � <br />� <br />City of Roseville <br />Finance Department, License Division <br />�b6� �Cava� C�nte� Drive, Roseville, l�N 551�3 <br />(���� 79z-���� <br />Massage:'�'������ ��������sh��n� ��eei�se Application <br />� - ,�, �-- - - - - - . . <br />��— � <br />�lL5LL7C$$ �RLll� � v•, t� r:_�� � � �•� "�1.�. <br />13115117�,58 �{��CE�s _ . � � �� �L 4 �IL i � �� y <br />r- f �. f � <br />�� `� <br />Flri��ll ��� ���� ��+�_ �,�i�f <br />��t� � . � <br />L3�i�in�ss Phnr.� � ���i��� � ��f �.— — - - — <br />i��r�.�r��i rrr f'�,ri.tr,�� r�i �?��Fa�� �� $�si���ss �.����i.s�: <br />„, � � <br />� <br />. ' `r � • +'7� t <br />� � y }.5 <br />� itI11C � �� �}� � � �; � � �� ��F i� t •���� I � � 1� I �� � � <br />,-- _ �-_�,._ .. .. .- - - <br />i <br />Address _��,,,�' " �.;'�;�•�' _ <br />Iyti' i7.: K <br />Drivers License Number <br />Soc.ial Sc�Clll�ltj� Nltl]1U�1'— <br />U..��'. Citircn? — 'Yes <br />�3?� i7�B:CL�7_ _ � ���'�" �. <br />_i — <br />No Naturalized? Yes No <br />If yes, date and place: <br />i hereby apply for the following license(s} for the term of one year, beginning July 1, �.%�-U r� , and ending <br />June 3l, �,�;..� �� , in the City ofRoseville, County ofRamsey, State of Minnesota. <br />License Required <br />Eee <br />Massage Therapy Establishrnent $300.00 <br />$150.04 Background Check <br />(new license only) <br />The ilndersi�ned applicant mal<es this application pursuant to all the laws of the �S{tii� �}f �{��n�s�[a a��[� re�t;:at:t�n <br />as �ii� Council of the City of Roseville may fi�o�;_ I i mc t� [irEUUG pre���t4r�, snti Il]�k��� !�L . �x �i� �q���� � S`�G, ���., <br />. � ,r � �_ � �� r. <br />Sigi7atute ,�� �_— ^ � �- �-_�. - <br />� <br />���� • � � <br />j� complete�l license should be t�iailed somewhere other than the business address, please advise. <br />