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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />New X <br />Q <br />APPLICATION FOR / d 7-0 6Ay4 ,2 __ LICENSE Renewal <br />Transfer <br />/ l/ % 3/ �7 License Fee % <br />A. Name Rill// Ce-14 /45 y� ,—ti'/. //�� Address 3/ 5" l��//Q li�dv e-- / <br />City l ;7 ems- (ANAc A- State ////i! Zip 567/ 7 Phone yi- P65-6O <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 <br />City State Zip Phone <br />C. Have you been engaged in this business before? Yes k No <br />D. Where? 4 CLAM / S //e/p%T S <br />E. If a Firm or Corporation, names and addresses of the officers. <br />Name of Firm <br />t r CD <br />Officers Address <br />Address <br />F. List all licenses currently held (municipal or state) /9C1A/A ;. /10./7/17-5 4,70 4iYAyC c= - <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 />Date /0— _97 19CR-13 Signed . a <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />3 <br />.,.tpa. <jo Approved By <br />