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C y. <br /> Mate o� �linnegota, n�tio,�n KtMUVHL L 1 l.tNSt APPLICATION <br /> CERTIFICATE OF INSURANCE REQUIRED <br /> 9X. <br /> HENNEPIN <br /> County oJ..................... ....... 3/15/83 to 3/15/84 <br /> • FEE: $25.00 for company plus 1 vehicle <br /> $15.00 for add' l <br /> TOTHE........C1-TY...COUNC-IL.............................................................OF THE........E.I.T.Y..................................................................................... <br /> OF...............ST....AN.THONY..................................................................................................................IN SAID COU.YTY .4.VD ST.4TE: <br /> The undersigned hereby applies for a license to carry on the business of................................. <br /> RUBBISH REMOVAL VARIOUS LOCATIONS <br /> .................................................................................................at................................................................................................. <br />..................................................... <br /> in the...CITY...................................................of.....................................S.T.,...gN,T.HONy...................in said county and state for the � <br /> from the date hereof, subject to the laws o <br /> term of..........ONE................YEAR...... -.1 <br /> ........ . . f b f J f Minnesota and the <br /> orclina7cces of said.............C1.T.Y................................................; and herewith tenders d........ d..,.. a............as the lieerese <br /> feetherefore................................................................................................................... .. <br /> COMPANY...NAME......AV44...�t'�y°E!? y <br /> LIST VEHICLES LICENSED: 74 e �u 5xA . . i ._ ADDRESS /.2is( 744 /f�UE GJST{�. to <br /> ..TYPE .E...1:�fCENSEN-0��������.�.���� � PHONE�,�.:.........3 /r1O. �SSl/8' <br /> .../..................................... ....7.9......, �a.ch...Pk4r e............. . ........ .. ... .....s'� -.....�. '� ........... .... ......... <br /> ........... <br /> ............................Q.FF1.C.E.B'.'.5....S.1.GNAT.URE ................................. <br /> ,... <br /> . .......................................................... <br /> .................................................................................................................................................................................................... <br />......................................................... <br /> • ........................................................................................ <br /> ................................................................................................................................................................... <br /> .................................................................................................................................................................................................... <br />..........................................I............. <br /> .................................................................................................................................................................................................... <br />........................................................ <br /> ( " u <br /> 0 00cK <br /> Dated.............................................. ...................... 6-N............. . <br /> ...................... ......... <br />