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City of Falcon Heights • <br />APPLICATION FOR CHRISTMAS TREE SALES LICENSE <br />TO: City of Falcon Heights -Fee: $50.00 . <br />2077 W. Larpenteur Ave. <br />Falcon Heights, MN 55113 Date: ) 0~'Z(~`OS <br />651-792-7600 Expires: 1 / 15/2006 <br />Firm Name: ~u.tcoh ~~e~lt~ ~.,~d,wd~a.lkr L ~a~s ~-~"' ~ <br />Business Address: ij'o t laCa,L~,b ~ve <br />Name of Owner: ~ r L ; .,,dtfio+K <br />Home Address: /Sa S la~~~ o ~~ <br />Telephone: Business: dS'~- 9!7 - Zf77 Residence: <br />Address/Place of intended sale: ,tea./~o~. ~t4~~S Cenhn~v~~%~ ~~'`E <br />Dates and hours of operation: ~ ec, r--+ ^' ~ ~..+~ . • <br />List your experience, naming below municipalities in which you have had previous business: <br />1. <br />2. <br />ITEMS REQUIRED FOR LICENSE: <br />State of Minnesota Tax ID Form (attached) <br />State of Minnesota Workers' Compensation Form (attached) <br />Falcon Heights Fire Inspector approval <br />I swear that the above statements are <br />true to the best of my knowledge and <br />belief. <br />_ Signature <br />_~ <br />f Fire In pector <br />• <br />