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C s LITTLE CAN/-.D <br />I:.'•.S;EY COJNTY, MINNESOTA <br />`[ °[ [ [ c � C i [ [J: OF [[ r [[ CUL[.[j <br />New <br />APF : ATION FOR LICENSE Renewal <br />Transfer <br />License Fee <br />A. Name _L( ,1 t -.._Addresa 7 6 <br />Grp- State. State. - Zip Phone_.. <br />here_.v apply for a license for the term of One Year in the City of Little Canada, County of <br />Raney, State of Minnesota. <br />B. Easiness Address <br />C. <br />City State. Zip <br />Phone <br />Have you been engaged in this business before? Yes <br />No <br />D. Where? <br />E. If a Firm or Corporation, names and addresses of the officers. <br />Name of Firm _Address <br />Officers __...Address <br />F. List all licenses currently held (municipal or state) <br />G. Well Drilling No Plumbers' Master No. Electricians' State No Heat- <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 ? .� 0 19.,:7 c- Signed - 4 <br />Applicant do not fill below this line. <br />40 <br />