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� • <br />� L�•'~ <br />CTTY OF ROSEVII.LE <br />FINANCE DEPT, LICENSE DIVISION <br />2660 C M C CENTER DR, ROSEVII.LE, MN 55113 <br />(651) 490-2212 <br />MASSAGE THERAPY ESTABLISHIV�NTLICENSE APPLICATION <br />TYPE OF APPLICANT: INDIVIDUAL PARTNERSHIl' <br />( PLEASE CHECK ONE� <br />APPLICANT'S NAME <br />APPLICANT'S ADDRESS <br />NAME UNDER WHICH <br />APPLICANT WII,L BE <br />DOING BUSINESS: <br />� CORPORATION <br />OTHER <br />�` � <br />ASSOCIATION <br />`�� � , �, �� '� ��� �� �,�� S �— - .. <br />�� � ��� r ��. �� I �� ���� <br />������,� ��,,Itir7� �:J�X. � �'�'�'��r� <br />ROSEVII,LE ADDRESS: i'�� _ �.+_3 �,�� �R..o��a � �Z <br />� <br />ROSEVII,LE TELEPHONE: Co� t-��, I- R$ 3C1 <br />LOCAL CONTACT PERSON <br />TTTLE: <br />���� �. ���. <br />. u . .�_ <br />�� <br />I hereby apply for the following license for the term of one year, beginning July 1,2002, and ending June <br />30,2003, in the City ofRoseville, County ofRamsey, State ofMinnesota. <br />LICENSE REQUIRED: <br />MASSAGE THERAPY E STABLI SHMENT <br />', 11 11 <br />The undersigned applicant makes this applicationpursuant to all the laws of the State of Minnesota and <br />regulations as the Council of the City of Roseville may fro� �?y,„� pre3c �, ir,�ludEng �+Einr��so�a <br />Statue # 176.182. �L <br />Signature_ �� I�` <br />1.M1�- �'£� <br />Date - � <br />**If completed license should be mailed somewhere other than the applicant's address, please <br />advise. <br />Receipt # <br />6: t� nr� roCSSS� D us �� si2 ��E�4a�isng p <br />