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CITY Of MOUNDS MIEN <br />LICENSE A►I�ICATION FORM <br />Page Two <br />AMUSEMENT DEVICES ONLY: <br />Number of amueemec: devices <br />BOWLING ALLEYS ONLY: <br />Number of lanes <br />DANCS HALLS ONLY: <br />Now long la operation at given address <br />GARBAGE COLLECTION ONLY: <br />Equipment to be used -- <br />Place A Meaner in which garbage will be disposed _ <br />Attacb up indicating customers served in mounds View or list thereof, <br />GASOLINE STATIONS ONLY: <br />Number of Pump* <br />Number A capacity of gasoline storage tanks <br />&INNRLS ONLY: <br />Check one: commercial � Residential <br />Numosr of dogs ._ <br />ggSTAURANTS ONLTI <br />occupancy load _ _ Number of hours open per day _ <br />•emu u..u....u.u...uu.uu.... u.0 u.u.... u....u... u...... u... <br />- FOR OFFICE USE ONLY - <br />Receipt Number Date <br />New Renewal <br />Police Chief: Approval <br />Data of Council Approval <br />Pee <br />Disapproval <br />License Number • <br />