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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />APPLICATION FOR <br />A. Name <br />a98q -- DR. <br />)L V) Vct� 41C4C, c»t.j <br />LICENSE <br />Address �( <br />New <br />Renewal <br />Transfer <br />License Fee <br />e i,.. /14//5- <br />City /t State 141/n Zip >> / 3 Phone G + ,`Y <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 <br />City State Zip Phone <br />C. Have you been engaged in this business before? Yes L- -- No <br />D. Where9 P/ (� , C, �. /°( % ifjc5 i <br />E. If a Firm or Corporation, names and addresses of the officers. <br />2 <br />Name of Firm c:::;( b u £fc, k1 '11 4 (3 � )c l c AddrA/I< <br />Officers nE' v v 1 S C' (c.: V\ kr' \ 1 Address <br />F. List all licenses currently held (municipal or state) l,5� <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 Linde Canada may <br />from time to time prescribe. <br />Date 19 Signed u,„,./12-2-,--v i ,,-..71--z <br />' <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />34 <br />,4210., "'" Approved By <br />