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MOUIVDSVIEW <br />2401 Mounds View Boulevard * Mounds View MN 55112-1499 <br />(763) 717-4000 * Fax (763) 717-4019 <br />Barb.benesch gDm ou ndsviewmn. orn *uww.moundsviewmn.ar4 <br />r <br />Email Application <br />Business License Application Date: <br />Business License COUNCIL Approval Date: <br />❑ NEW APPLICATION <br />❑ RENEWAL APPLICATION <br />riI( <br />BUSINESS APPLICATION <br />Mounds View License Address:2375 Mounds View Blvd, Mounds View, MN 55112 <br />Company Information <br />Corporation Name: Rydell Auto Outlet and Garage, LLC <br />Corporation Address: 3400 Hwy 61 N <br />Phone Number: 651-204-4762 <br />City: White Bear Lake state: MN [ zip:55110 <br />Fax Number: 651-483-4397 <br />Email address: val@stpautos.com <br />DBA (Doing Business As): The Bear Lot <br />Owners/Corporate Officers/Partners (name and title): <br />1. Richard Herod, III - Owner/President <br />:2. Valerie Kennedy - Treasurer/Secretary <br />3. - <br />4. <br />5. <br />..address) <br />Applicant Name: Richard R. Herod, III <br />Applicant Address: 3400 Hwy 61 N <br />Phone Number: 612-239-9545 <br />state: MN zip: 55110 <br />City: White Bear Lakel . <br />Fax Number: 651-483-4397 <br />Email address <br />*1 hereby certify that the information provided I this application is true and correct and <br />I understand that any misrepresentation <br />made herein may be rounds for denial of this opplicati4n for a business license. <br />*Applicant Signature: <br />TYPE OF •-: DIFFERENT <br />FORM REQUIREDFOR: <br />Adult Establishment I ❑ Gasoline Station <br />Intoxicating Liquor** <br />Automobile Sales # of Pumps <br />3.2 Percent Malt Liquor*" <br />❑ Bowling Alley # of Gas Storage Tanks <br />Amusement Devices/Center <br />Number of Lanes_ ❑ Recuperative Homes/Half Way <br />Peddler/Solicitorrrransient Merchant <br />❑ Cigarette and Tobacco* House <br />Tattoo/Piercing/Painting <br />Over the Counter Sales, Pawn Shop <br />Therapeutic Massage <br /># of Vending Machines Lawful Gambling** <br />Christmas Tree Sales <br />❑ Circus/Carnivals/Rides Restaurant* <br />❑ Donation/Collection Bin Occupancy Load *Require <br />copy of Ramsey County license. <br />rl Garbage/Recycling* # of Hour Open Per Day **State of MN Requirements must be met. <br />Class A Class B. <br />Have you ever had a license revoked? Yes/No If yes, please attach explanation. <br />OFFfCE USE ONLY: <br />Receipt # Police Chief: Approved/Denied (circle one) <br />Notes <br />Fee $ (check/cash/cc ) Comments: <br />Date of Payment <br />