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CITY OF RAMSEY - 2000 <br />APPLICATION FOR TEMPORARY AMUSEMENT CENTER (CARNIVAL/CIRCUS) LICENSE <br /> <br />Return this completed application along with $150.00 Non-Refundable License Fee to: <br /> City of Ramsey <br /> 15153 Nowlhen Boulevard NW <br /> Ramsey, MN 55303 <br /> <br /> Make check or money order payable to the "City of Ramsey". <br />FULL Name at Business: ~ <br /> .. <br /> <br /> Last First <br /> <br />3) Manager's or Proprietor's Date of Bidh: (~ 7 - ,~4:~ - ~"'-/-~ <br /> <br />4) Business Address: ,/._~ q (o0 ~'-~kx2~_c:,~e v" ,~"J/'. <br /> Street, Box, Route <br /> <br />5) Business Phone Number('sJ: (r'-/~t~)J _"7-~ ::~ - <br />61 Exact legal description of the premises to be licensed: ~ L4 r-~ <br /> <br />7} Ownerofthepremises: '~xr~¼¢, j J'e ,-- ~ob <br /> <br /> Y~-~ .,~ <br />Mid (:lie 'Nar~e <br /> <br />City ) State ZIP <br /> <br /> Last Nome First Name <br /> <br />8) Address of Owner of premises: <br /> Street, Box, Route <br /> <br />~)Owner'sPhoneNumber(s); ( '7~} <br /> <br />10} Applicant's FULL Name: <br /> Last Name First Name <br /> <br />11/ Applicant's Phone Number(s): '-'2~ <br /> <br />12) Applicant's Date of Bidh: <br /> <br />13) Applicant's Place of Birth: <br /> <br />14) Applicant's Address: /'~'~ ¢.~ '~ ~_/~ ,~ ,~ ~/~ <br /> Street, Box, Route City <br /> <br />15} Applicant's Phone Numbers: ( .¢-.)~ ) ~'~._~-'-~_ L/.~,/7 ~ <br /> / <br /> <br />16} Applicant's Position With Company: ~ I t" e e.-;~ ~ <br /> <br />17) Are you the sole owner of the business? Yes: .~', No: <br /> <br /> Middle Name <br /> <br />City ~ State ZiP <br /> <br /> Middle Name <br /> <br />State <br /> <br />ZiP <br /> <br />If padnership, state names and addresses of all Padners. Include a copy of ~he Partnership Agreement. <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />