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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />t l' New <br />APPLICATION FOR UL-1 lytA,_ Wman LICENSE Renewal <br />Transfer <br />License �Fee <br />A. Name C-frt'1 LU Address l / `O �/0 3I��fj(/ q4 N1 <br />City SS-( aka State 'f V'� Zip COD C�- PhonQe loS -S115- <br />hereby apply for a license for the term of One Year in the City of Little Canada, County of Ramsey, State of <br />Minnesota. Q \' �o �`' R, 3a-Is' <br />B. Business Address 1)1 fQ ll� ac.�-/��C� owv,. 6 •/ ' t)t1A .U�Svld); <br />(fin \ MAA s-� 6 Phone 7a {1� d i4Vt° , <br />City ! 1' �� 15 State Zip � �ij <br />C. Have you been engaged in this business before? Yes <br />D. Where? <br />E. <br />No <br />F. <br />If a Firm or Corporation, names a d addresses of the officers. Q j <br />Name of Firm ti Vl ( Q, CMgt Address 3)15 S %.,1QV\ . / is,, <br />Address T`ia �1 J l% II SY t/ <br />Officers <br />List all licenses currently held (munici al or state) Vwwvv e--PA /YV <br />o}- SkilOU'(bS <br />tiNf <br />G. Well Drilling No. Plumbers' Master No Electricians' State No. Heating <br />Competency No. The undersigned applicant makes this application pursuant to all the laws of <br />the State of Minnesota and such rules and regulations as the City Council of the City of Little Canada may <br />from time to time prescribe. <br />Date :7v a 31 l 19 Signed <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />Page 11 <br />Approved By <br />