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Fee $30.00 <br /> • CITY OF ST. ANTHONY <br /> APPLICATION FOR General Contractor LICENSE <br /> i' <br /> Article No. Section No. Date: <br /> NAME Milton L. Johnson Company P Y hereby submits application for a license to <br /> fperform Contracting within the.City of St. Anthony in accordance with <br /> the code of said City regulating the same. <br /> i <br /> Submitting, along with this application, is a $2,000 License/Permit Bond <br /> (March 15 to March 15th concurring with license year) payable to the City of St. Anthony, <br /> conditioned upon compliance with the applicable code of said City, and Certificate of <br /> Insurance in the limits of $100,000 per person, 300,000 per accident for bodily <br /> injury and $5,000 for property damage, and a Certif-i-c—abe of Insurance evidencing the <br /> the holding of Workman's Compensation as required by law. <br /> Company-or-Firm-Name Milton L. Johnson Company <br /> Address 2513 Central Ave I .E. City Minneapolis, Mn. Zip 55418 <br /> Telephone Number 7$1-9548 <br /> Company agent or official 1. Milton L. Johnson <br /> 2. Clifford E. Johnson <br /> 3. ;.arylyn L. Johnson <br /> State Master License No. ([dhen Applicable) <br /> Licenses in nearby cities , villages, or state 11.inneapolis, St. Paul, & all suburbs <br /> APPLICANTS NAME (in Full) (`Tilton L. Johnson <br /> _ nAPPLICANTS SIGNATURE ti <br /> (DO NOT WRITE IN SPACE BELOW) <br /> Amount $ DEPARTMENT REPORT <br /> Date <br /> Receipt No. 1 <br /> Bond _ <br /> Insurance <br /> License No. <br /> • APPROVAL RECOMMENDED <br /> DENIAL RECOMMENDED <br /> BY: <br /> FF 77i <br /> 8 0 n 3 0.o K <br />