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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 />jeiSe ''-%r e6 4y / ffr LICENSE <br />52 /k077— <br />City /©cr'h/ <br />State ..÷-4/ <br />New <br />Renewal <br />Transfer <br />License Fee <br />Address /c 9" 'J //' wr 7c <br />Zip 9-57V3 Phone Y? -O3 8c-3 <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 / 5% /re`Ye":7` Ce" 2 9Gzi 'V M.c, C S T <br />City L.i777; (' 'UaY7 <br />State <br />C. Have you been engaged in this business before? <br />/74 Zip 5.5.77 3 Phone <br />Yes No <br />D. Where? / 7c- 4/ /ilk/ zrx// 5 /'; -/A7"/ <br />E. If a Firm or Corporation, names and addresses of the officers. <br />Name of Firm <br />Officers / ELc- SC'X2aL,-' <br />ci <br />Address le? i //76" Z ,t -t -7t n t 3 <br />Address /676' w 14)71.0 S z `? - <br />h ci7)f6 ,40c1 y //3 <br />F. List all licenses currently held (municipal or state) PG' t /mot'"'% / .v?-re rime- <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 Counc' .f the City of Little Canada may <br />from time to time prescribe. . <br />��..ss�� l <br />Dated- -% / 19�C Signe <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />1 f <br />? >,( Approved By <br />