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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 11=7-249 <br />CR -i (-it '705_14‘4,-gt,(6 <br />FIRST <br />PERMANENT ADDRESS <br />r�l.spN0nJE <br />LOCAL ADDRESS <br />DATE OF BIRTH <br />MIDDLE LAST <br />Y�ICl�MS <br />rMl71r_.)i--1?1 (1:-), <br />BRIEF DESCRIPTION OF NA or E OF BUSI <br />METHOD O OPERATONp� ���r <br />\---V\ <br />ESS, GOODS TO BE SOLD AND <br />Com /�S <br />NAME AND ADDRESS OF EMPLOYER <br />l <br />CREDENTIALS FROM EMPLOYER <br />LENGTH OF TIME APPLICANT INTENDS TO DO BUSINESS IN LINO LAKES AND <br />THE APPROXIMATE DATES jn J7- , <br />WHERE ARE GOODS PROPOSED TO BE STORED L404) <br />WHERE ARE GOODS CURRENTLY STORED <br />vA <br />WHERE ARE GOODS MANUFACTURED OR OBTAINED 1 -AR vQ,-i , <br />PROPOSED METHOD OF DELIVERY OF GOODS l%„/ Ole <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 />