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AIM Email Application <br /> QUlyL ■i Business License Application Date: I I— ),— a p - <br /> 2401 Mounds View Boulevard"Mounds View MN 55112_1499 Business License COUNCIL Approval Date. <br /> (763)717-4000"Fax(763)717-4019 � NEW APPLICATION <br /> Barb.benesch r(. n crindsuiewmn.org"www.nloundsveH+rnn orp RENEWAL APPLICATION <br /> Mounds View License Address: IM <br /> 3 / <br /> Y.`� �Q0►'vl p ' o'� l�-1 av 5 1�� AIM 55Z), <br /> Corporation Name: <br /> 5 A tll" Z­:-1: k/C e,iC <br /> Corporation Address; � �'� <br /> Phone Number: <br /> OTS <br /> tState: ` 7 3 -"7 / 5 5r <br /> nv► s [,�,'.�w Zlp' S Fax Number: <br /> Email address: ' 51 7 7/-2-9 <br /> DBA (Doing Business As): <br /> Owners/Corporate Officers/Partners (name and title): <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> Applicant Name: <br /> .. - <br /> FApp,.lic@Lnt,Ad,d.ress: <br /> c .3 Lf ' � l Phone Number: <br /> yState: C) <br /> JG . f Zlp' Fax Number: <br /> Email address L. IfI /- 71/" 2 `j <br /> *1 hereby certify that the information pr ided 1 this application is true and rrect and 1 understand that any misrepresentation <br /> made herein may be rounds for denial of #pis a lication for a business license. <br /> *Applicant Signature: <br /> r - a r- <br /> �' e a • <br /> Adult Establishment Gasoline Station <br /> '-Automobile Sales #of Pumps Intoxicating Liquor"" <br /> Bowling Alley 3.2 Percent Malt Liquor" <br /> Number of Lanes #of Gas Storage Tanks Amusement Devices/Center <br /> omes/Half Way Peddler/SoticitorlTransient Merchant <br /> Cigarette and Tobacco"^ Recuperative H <br /> Over the Counter Sales House Tattoo/Plercing/Painting <br /> #of Vending Machines Pawn Shop Therapeutic Massage <br /> i, Lawful Gambling"' Christmas Tree Sales <br /> fL�JI Circus/Carnivals/Rides Restaurant" <br /> Garba a/Re Donation/Collection Bin Occupancy Load "Require copy of Ramsey County license, <br /> Garbage/Recycling" #of Hour Open Per Day "State of MN Requirements must be met. <br /> Class A Class <br /> OFFICE USE ONLY: • <br /> Receipt#Fee a (check Police Chief: Approved/Denied(circle one) Notes: <br /> lcashlcc <br /> Date of Payment ) Comments: <br />