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CITY OF LITTLE CANADA <br />OFFICE OFBCITY CLERK OF LITTLE CANADA <br />APPLICATION FOB GAME AOOM New <br />LICENSE Renewal <br />License Fee <br />A. Name, Thomas Allen Dura <br />Y...._......_._Addrese 750 Grandview k169 <br />City. - Si Paul MN, '—' - -- <br />.State hereby apply for a license for the term of One Year in the City of Little Canada, 483-3346 <br />Ramsey, State of Minnesota. da, County of <br />B. Business Address 2504 N. Rice St. <br />City .✓D,itt1e Canada State-la• <br />C. Have you been engaged in this business before? <br />D. <br />Where? <br />E. If a Firm or Corporation, names and addresses of the officers <br />Name of Firm ..,l._SiAEAddresa?.5o.4.. N.. ...R.... ...... ...Officers Thomas Allen Duray , . <br />....................._._... <br />-- .-Address (-250__grund view #169 St. Paul <br />Zip 55113 Phone 484_ior7 <br />Yea......_......_.._......_._._. _ <br />No............._..__. "" <br />F. List all licenses currently held (municipal or state) <br />C. Wen Drilling No. _ Plumbers' Master No. State No.Beat- <br />ing Competency No The undersigned applicant makes this application pursuant to all the <br />laws of the State of Minnesota and such rules and regulations as the City Council of the City of Little <br />Canada may from time to time prescribe. <br />Date <br />q �6 -7� <br />1g9._- Signed _ 1 hirci) att:. m0. <br />........... <br />Applicant do not fill below this line. <br />Approved for license this date <br />Remarks . <br />ApprovedBy ............................. ............................... <br />86 <br />