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• <br />FULL NAME <br />APPLICATION FOR PEDDLER'S LICENSE <br />FIRST <br />PERMANENT ADDRESS <br />-rei,opficiA)6 <br />LOCAL ADDRESS . <br />DATE OF BIRTH <br />CITY OF LINO LAKES <br />1189 Main Street <br />Lino Lakes, Mn. 55014 <br />(612) 464 -5562 <br />MIDDLE <br />.9 1.1-.8 (e/.! <br />BRIEF DESCRIPTION OF NA sr E OF BUSINESS, GOODS TO BE SOLD AND <br />METHOD p OPERATION <br />NAME AND ADDRESS OF EMPLOYER <br />CREDENTIALS' FROM EMPLOYER <br />fio <br />u C <br />I�2 c <br />e <br />LENGTH OF TIME APPLICANT INTENDS TO DO BUSINESS IN LINO LAKES AND <br />THE APPROXIMATE DATES 10 , <br />WHERE ARE GOODS PROPOSED TO BE STORED IJ/.b) <br />WHERE ARE GOODS CURRENTLY STORED <br />VA <br />WHERE ARE GOODS MANUFACTURED OR OBTAINED <br />1 <br />AQV 2J 7 <br />PROPOSED METHOD OF DELIVERY OF GOODS <br />PHOTOGRAPH OF APPLICANT TAKEN WITHIN 60 DAYS IMMEDIATELY PRIOR TO <br />DATE OF FILING APPLICATION (MUST BE 2" BY 2" SHOWING HEAD AND <br />SHOULDERS) <br />HAS -APPLICANT OR PERSON MANAGING BUSINESS BEEN CONVICTED OF ANY <br />CRIME, MISDEMEANOR OR VIOLATION OF ANY MUNICIPAL ORDINANCE <br />