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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />New <br />APPLICATION FOR te/5c 0 JO .4-L /65 LICENSE Renewal <br />Transfer <br />License Fee / <br />A. Name /3(C / /J/Z/) /r p l T Address / 6 3 Su I�J/� i t /5'G /t <br />City 5o , sr P- u L state AI / zip 5 $974 ^ Phone Y s 773/ <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 3 6/ /.!/IJ)'!/G %2 S / rk <br />City 5 T i AL./ L State Y 1/ A V Zip S.5/ e 3 Phone 9,2_7- C-629 <br />C. Have you been engaged in this business before? Yes l No <br />D. Where? <br />D <br />IF <br />5 <br />t/D if-Ala fl <br />E. If a Firm or Corporation, names and addresses of the officers. <br />M.14- /3dOG,iT2f4T <br />Name of Firm (ce 4 P/12-)L (' / /}t(TU Address <br />g6 / /4u /fr //?5 //7 s'Tpf,‘ <br />Officers 1) i rti et._ S C A-RPt / / Address / Zj d ) Alm n,/4 / %..7 Pa, <br />pl l lC FR /� %� /6 3c) 5a7)- iiv7 /f _n47,7 S.�S J <br />R o C :) C 2/2/2“ / 7 Li C i ?4N !/z SI41e/L <br />F. List all licenses currently held (municipal or state) /1/1/ ii/ Z- 6(.974- 10"1(..)77;72. V cft' L G t <br />CA /2 t/ sC /FNC.g 9877 y �' / Ty v / ST P.m/u6 <br />/°. 4JL L,'CtiC <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. i <br />Date 1 ` 9' 19 en Signed giche'r--7 A <br />APPLICANT DO NOT FILL BELOW THIS LINE. <br />Approved for license this date <br />Remarks <br />