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APPLICATION FOR PEDDLER'S LICENSE <br />CITY OF LINO LAKES <br />1189 Main Street <br />Lino Lakes, Mn. 55014 <br />(612) 464 -5562 <br />FULL NAME 4-4L E' /y %1 14 (C 6112-119_ Ig'`a '11 <br />FIRST MEDDLE LAST <br />PERMANENT ADDRESS <br />LOCAL ADDRESS <br />DATE OF BIRTH <br />;5--M <br />hi; l <br />s te n ra-z 1 6 Y 73 r c - l ( ) (4•1 - Q76-73 <br />73 <br />t2(- . Jigs <br />BRIEF DESCRIPTION OF NATURE OF BUSINESS{ GOODS TO BE SOLD AND <br />METHOD OF OPERATION /,) (' c,e ---,,E„ ��e-c,- 4 rye t 1-711t71— , e'i4sLi.�.� <br />ANIFINIMINNEE <br />NAME AND ADDRESS OF EMPLOYER ��ff1[ g <br />�!) /xY1lnGL� � /1.CL„1 CS%. �('j�1J� I��N" �l�t�) <br />i <br />CREDENTIALS FROM EMPLOYER <br />LENGTH OF TIME APPLICANT INTENDS TO DO BUSINESS IN LINO LAKES ANDS <br />THE APPROXIMATE DATES f,Q -- J(--) See Sri en( ',< -- 1154I2 — ,4 <br />WHERE ARE GOODS PROPOyED TO BE STORED,„ L I f�� �;c��% vim. <br />��'' <br />WHERE ARE GOODS CURREN Y STORED <br />0-4.A .a C C7 .�n tf1 <br />WHERE ARE GOODS MANUFACTURED OR OBTAINED NCr4 ;'ti„,, , \\e <br />PROPOSED METHOD OF DELIVERY OF GOODS '\>\\.1e <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 />■ <br />HAS APPLICANT OR PERSON MANAGING BUSINESS BEEN CONVICTED OF ANY <br />CRIME, MISDEMEANOR OR VIOLATION OF ANY MUNICIPAL ORDINANCE <br />