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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />OFFICE OF CITY CLERK OF LITTLE CANADA <br />APPLICATION FOR <br />A. Name 4 <br />'/ <br />LICENSE <br />New <br />Renewal <br />Transfer <br />License Fee ,Q5 (2-0 <br />Address ,411Ynk/.roc: /-r <br />W <br />City /CPC /%/a State /214/ Zip 7 r /L3 Phone yffs x/ 7 y <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 z 22yr :e, Brit-Le- <br />City 471,71-6, (',?ns/Z State_ 2-t- Zip 557/7 Phone <br />C. Have you been engaged in this business before? Yes No S. <br />D. Where? <br />E. If a Firm or Corporation, names and addresses of the officers. <br />Name of Firm i!/p/'f/4 %h c-C Ser Address <br />Officers :326 6A' /Z- Address <br />4r egne ev r <br />S"-'' lt/A;..J/-kz.t/� <br />F. List all licenses currently held (municipal or state) <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 _z /1i / 19,q'*' Si gned �/ <-.�!'I/to/ <br />APPLICANT DO NOT FILL BELOW "I NE, <br />Approved for license this date <br />Remarks <br />-v v V \11111'0‘0,1 I v <br />