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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />APPLICATION FOR �2.LL2cli-9 V1 <br />A. Name 62 eel/ 1e- (�PCe'fi, <br />B. <br />ear Or <br />2c <br />City ,C%i,mer/I S State <br />New <br />LICENSE Renewal <br />Transfer <br />License Fee <br />Address <br />3c� Al S'`' Si— <br />Zip _CS4/0:3 Phone Mg---5-32 2- <br />hereby apply for a 1 cense for the term of One Year in the City of Little Canada, County of Ramsey, State of <br />Minnesota. <br />Business Address 300 /V. S7`‘' S� <br />City -7/ <br />C. Have you been engaged in this business before? Yes <br />D. Where? fee- <br />E. If a Firm or Corporation, names and addresses of the officers. <br />State ,/-1,7,7 <br />Zip 5'S '(O3 Phone 7.9-7- 5 2 2 2 <br />No <br />Name of Firm ice-&/l a9cen, Z<, <br />Officers 6/enn <br />con <br />Sieve- Crooer <br />Address 'cC / V -SfFSt <br />Address 3��Y 6.534F- CO-1/ mac- S �'% 4, <br />aC-0 �h cr A S G//� /s <br />? 74r, 377' /�� /5, <br />/le Sf�/ the <br />F. List all licenses currently held (municipal or state) 3.0Se ll/ / �l� / U> <br />G <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. Q� /� <br />Date , /%cGA 3 19.83 Signed (..n -z--v( lJ(.'?-uS� <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />c <br />11 <br />