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AMUSEMMOT DEVICE!; ONI-Y; <br />Number of pinhnll_-- <br />Number ul' goneral <br />BINGO ONLY: <br />— <br />Day(::) of wook _ At what. hours <br />Officer of AnnueiaLion_ I:Ii(lnaLure) — -- -_ �- <br />Individual nuporvining games_(silnature) <br />110WIJNG ALLEY: U14LY: <br />Number of lanes <br />DANCE HALLS ONLY: <br />flow long in opuration at given address <br />GARBAGE COLLECTION ONLY: <br />Equipment to be used <br />Place 6 manner in which garbage will be disposed <br />Attach map indicating customers served in Mounds View or list thereof. <br />GASOLINE STATIONS ONLY: <br />Number of pumps <br />i <br />Number & capacity of gasoline storage tanks — <br />KENNELS ONLY: <br />Number cf dogs <br />PEDDLERS/SOLICITORS/TRANSIENT MERCHANTS ONLY: <br />Type of bus iness/prodact/service/charity <br />Proposed Mounds View .location of activity/ dj/"C 114, ✓ CgVl'r <br />Proposed duration of license &Y ►o- MAP l(' - / 4 <br />RESTAURANTS ONLY: <br />Occupancy load Number hours open per day <br />e a a n a a a a a a a n a a a a a o o a a a o a e a e a a a a a a a a o 0 0 <br />FOR STAFF USE ONLY: �o <br />Date application received � "L Fee $ (7h,'� Receipt No. H537,- <br />10FERENCE CHECK: I BETTER BUSINESS BUREAU CHECK: <br />POLICE: CIIIe7(: <br />STAFF <br />