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Porto SP:CI <br />LICENSE APPLICAKr: <br /> <br />~ m ~!,,,,~oa $~ 2'/0.72 T~x ¢~ranc~; l~u~o~ of l~m~, ~'~ li~n~in~ ~l~xity i~ n~quir~d m ptovi~ m ~ <br />M~ ~i~ og R~mue yo~ M~ ~ ~ i~~ n~ ~ ~ S~ S~W N~ of ~h <br /> <br />UM~ ~c M~ Gov~ D~ ~fi~ ~t ~d ~e ~ ~v~ Act or 19~4, w~ ~ r~u~ ~ ~v~e you of ~ <br />fo~o~g reg~g ~e ~ of ~ ~o~o~ <br /> <br /> 1. ~ ~on may ~ us~ w d~y ~e ~su~ r~ewal ~ ~f~ of yo~ li~ ~ ~ ev~t you owe ~e <br /> <br /> 2. D~n r~iv~g ~ ~fio~ ~e lic~g ~ofi~ w~ su~ly it o~y to ~e M~sota Deposit of <br /> Rev~ue, Ho~, ~ ~ F~ Exc~g~ or ~on ~t ~ ~p~t of Revenu~ may su~ly <br /> <br /> F~ ~ su~ly ~s ~o~afion may j~ or ~lay ~e ~ss~g of yo~ ~g issu~ce or ren~w~ <br /> applica~on. ~ <br /> <br />Pi~e supply ~e followm~ ~o~o~ ~d re~ ~ong wi~ yo~ a~hc~on ~ ~e aff~n~y issu~g ~e hce~, DO NOT <br />RETURN TO THE DEPARTME~ OF REVERE. <br /> <br />LICENSE BEING APP! rF~ RgR OR RENEWED;. <br /> <br />LICENSING ALrrHORI'rT: ~ <br />(Namc of City, County o~ Sl'a~ agcncy issuing Iiccr~) <br /> <br />LIC'EN~E RENEWAL DATE: ~ <br /> <br />Peddler. Solicitor ted Trm,mient M~rchmnt <br /> Ciw of Rarr~v <br /> <br />Jmusrg I. 1995 <br /> <br />PERSONAL INFORMA'['ION (If applicable): <br /> <br />Applic~f~ Name: <br /> <br />Applicant's Addrcsz: <br /> <br />Social Security Number: <br /> <br />BUSINESS INFORMATION <br /> <br /> ROSE MOBRY <br /> <br /> 8300-163rd ave, N.W. RAMSEY, MN. 55303 <br /> <br />Ramsey ~, 55303 <br /> <br />City <br /> <br /> 47a-78-69!5 <br /> <br />(If applicable): <br /> <br />SLat~ <br /> <br />Brininess Nme: <br /> <br />Business Address: <br /> <br />City <br /> <br />Code <br /> <br />Minnesota Tax Idemdficado~ No.: <br /> <br />Federal Tax Identificmion Nc~.: <br /> <br />If ~ Minnesotz Tax Idcntificalion number is not required, pl¢~te cxplld.n on the reverse side. <br /> <br />Sigmamrc Posi~on (Officer, Pm-mcr, etc.) <br /> .~/' <br /> <br />Dang <br /> <br />i <br /> <br /> <br />