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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />New ✓ <br />ICENSE Renewal <br />Transfer <br />License Fee <br />A. Name 1 • �C \ p�, c,, r��� Address q. 0( ) \�: c. t S . <br />�1 city ,h 1 c_ w-- ,\ . c^• . State O1 ; e\ J k` Zip TS- S ( 5 Phone 1 (S,c' -). - I C <br />hereby apply for a license for the term of One Year in the City of Little Canada, County of Ramsey, State of <br />1 Minnesota. <br />P <br />.N-- Business Address i-;t- v . �t .� t>- kX c U . , (t co- (' C.: l l.., <br />City \c---C; s S 1 ' l ` c State lb IL ,. Zip 'SS/ f 3 Phone 't ? 3 -Lige 3 <br />C. Have you been engaged in this business before? Yes V No <br />D. Where? Ni a ` c.- .,,_:w, _=•(c_ A k rALS -_,� .r--Th <br />C <br />E. If a Firm or Corporation, names and addresses of the officers. <br />Name of Firm �F L___"/ <br />_ ,c- ' s {ai..a 1-�tar er" (l k___-d-e Rcb� t <br />APPLICATION FOR <br />Officers Address <br />F. List all licenses currently held (municipal or state) m,__y ^sn : /\ 1.J:_. <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 />C'\ . <br />Date — ( `�- <br />19 Signed <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />01 <br />siEtp@ ed By <br />