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No.247—Application for Municipal License; General Form. (Revised 1926.) MILLER-DIV'S co.. <br /> SERVICE STATION LICENSE, 3/15/84-3/15/85 <br /> estate ofCinnegota, 1 FEE: $25 . 00 station & 1 hose, $7 . 50 <br /> •YY for each additional hose. <br /> County oj.....Hennepin,/Ramsey-. <br /> TO THE <br /> .................CITY....COUNCIL.... ...... ... ... ... .. .. . _0 F Till;.. ........._ CITY. .. . ..... .... <br /> I <br /> OF.........ST......AN.THONY,....14IMNESOTA.......................................................................IX S.1I1) ('01'.1'T1' .4X1) STATE: <br /> The undersigned hereby applies for a license to carry on the business of, __. ,,.,.,._.. <br /> SERVICE STATION <br /> ................................................................................................at............................................................................. <br /> in the.......................CI.TY.............................of......... .T......AN.T11ONY.......................................in said cuunly and stag; for the <br /> term of................ONE....YEAR.................................from the date hereof, subject to the laws of.4finnesula and the <br /> CITY <br /> ordinances of said........................................................................: and herewith tenders 5....... ........................_. as the license <br /> gig; <br /> dfee therefore............................................................... <br /> .................................................................................................................................................................................................. <br />.. ............ .. .... <br /> ..................................................................................................... Cl M -ANY....IJAME.;...i F.,.sL....L ..�.....:;-:I1;�✓� ;..�:- I-��. <br /> .................. <br /> .............................................................................................................................ADDRESS:. ..'"..........J�� x...........(1 <br />.0.. 55d <br /> PHONE: <br /> �/-..t• '-1/ ......._..C...... 1r................................ <br /> / �r—= 9 <br /> ..............................................................................................................................OFF-ICER'..S..-SIGNATURE c /... <br /> ..Y).N 1? �`� - C ;" / .. <br /> ..... . ... <br /> .......... -/._, . <br /> .................................................................................................................................................................................................. <br />......I............................ ................. <br /> Dated........................// ...... <br /> ....................19..... .................................................................................. <br /> r�G'�K <br /> aoA <br />