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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />APPLICATION FOR <Ja'x <br />A. Name KO ' /i"/1/1 <br />City ll" <br />New X <br />CENSE Renewal <br />Transfer <br />// <br />License Fee <br />Address tP £ IQW SO 131()C • <br />State 711.-0 Zip <br />Phone /( T171-027/ <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. /n }f �U %`) u {� <br />B. Business Address <br />Li S �`G`S A ��� �d ? �l ILA !VA n%) <br />City Cl it CI 4sn4- <br />State <br />Zip (CI �� Phone 7 t�� - 002/(' <br />02 / (' <br />C. <br />D. —Where's <br />E. If a Firm or Corporation, names and addresses of the officers. t <br />Name of Firm `1 �'� <br />S RE5 'rA' r Address 3c L I ' `t� CJV Ptak') kv. <br />Officers 'VO M A) Fr Goff // <br />Address Coot &S• Ow ny so Plop. <br />F. List all licenses currently held (municipal or state) <br />G. <br />o. <br />u';. <br />•.. <br />ians'-State No. Ieatmg- <br />-Qvuipeleney Nu 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. /1,7 /� <br />Date l c71- ° 19 Signed (/ �•' ' 4 <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />a <br />Approved By <br />