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Received: <br />� i24i2002 <br />7/24/2002 � � :56AM� .>Konica FaX ; #14� P a g e 2 <br />11:32 HERBERGERS ROSEDAI.E � 916015922939 <br />cl� a� �osE�LLE <br />FINANCE DEPT, LICENSE DIVISION <br />2660 CIVIC CENTER DR, ROSEVILLE, MN 55113 <br />(651) 490-2212 <br />I�IASSAGE THERAPY �5TABYrISHMENT LICENSE APPLICATION <br />1►[��i�7i �. <br />TYPE OF APPLICANT: <br />tw�.�,►sFCHr•cx ox�1 <br />APPLIC:AN 1 ' S ivn�.vir.r � <br />J'�i�i 1 r,�t, <br />.�rF���t'�� A�DI�RESS : <br />NA�vIE UNDER 1A�TCH <br />APPLICANT �J'TY,L BE <br />DOING BUSINESS: <br />R�SEVILLE ADDRESS <br />Rf3SEViLLE T'�LEPHON�: <br />LOCAY, CONTACT PERSON: <br />TITLE: <br />INDIVIDUAL PARTNERSHIP <br />� CORPORATION A S S O C I A T I O N <br />OTI�R <br />� _ ---_. <br />� <br />{'��'� (1 fl �l �� �� �`�_(�_, <br />. <br />� +" ►'1 � �� Ut v1 �i. {' c�� . - <br />1? � , �;P,il . '(� . �' , �/2���� �� ;,•, ; <br />_ . a UC�� �.'l %i'� �S �'���.5�� �/ ~t�?�f� — - <br />II� ('� �J �ii1;�,�� `(�....`��-�' � �j ��,� � _,t-t �� ; ' �r ),�� �-�i� <br />, t <br />'�l �� � 1 � l �� ��_� -� �1,�r���' � <br />-�`�� <br />�' r� ��. �i� 1���'.1,5 �;--� (���i� 1��'�� , �r, ��� � •���� <br />. <br />C. ! � <br />I hereby apply for the following license for the term of one year, beginning ruly �, 24Q2� and ending June <br />�0, 2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br />�YCENSE REQUIRED: " F E E <br />I�IASSAGE THERAPY ESTABLISHI�IENT" ��d•Q� <br />�e undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />regulations as the CfluACil of the City of Roseville may �tom time to time prescribe, including Minnesota <br />statue # 176:1 $2. - , ,, <br />Signatt}re %r1 � '- — ' <� ���x <br />Date `1,'Z5� �' ,, � � <br />�"`If compietcd liceASe sLould be. �nailec� sowewvbere uther t�a� the ap�licant's a�dress,.�.)ease <br />advise. ��-C' �S�' �._ c 1� � II �L,t ili, ,. ' a <br />S �./Q �.f �, C��-�S �GtG�.:�c,S..s �C1� .�L f �_ s <br />� _ <br />Receipt # <br />A:lwioidproco¢\busincsslice�soUnassage <br />_ , . .. � . i ° � . � �� � ,.. �r�° „ .Fti <br />