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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />Q New <br />APPLICATION FOR i Lt . ./b C'� -QC M < /� LICENSE Renewal <br />Transfer <br />License Fee <br />A. Name JY//C. ��CCtt C. ^. y Address 1'n t .ctr1 (e.-rii Q. <br />City (7�= State L s Zip 5 S �7 <br />// 7 Phone t 0 9 % / 1 cL <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. <br />B. Business Address S ce 1 <br />City State Zip Phone <br />C. Have you been engaged in this business before? Yes No <br />(�t <br />D. Where? )Lh. . {'Q'1 ( c.jc <br />E. If a Firm or Corporation, names and addresses of the officers. <br />Name of Firm a u- 3/4-1-C---_ <br />,Q , n `n Address ( � <br />Officers (.�-1.e� , .si i'lQt c Address 5) t O,j 4netit ±/ e���U) 15 7 <br />69.1- U± Yea IMP, J rl/h S5-0 ,�< <br />F. List all licenses currently held (municipal or state) <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 <br />- 3/ 190 % Signed U1 P.W—C, V\ LL7' <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />(4 ) @ Approved By <br />