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C(~Jnl¥ Use Only <br />ia ~ec,_ <br /> <br /> APPLICATION FOR LICENSE <br /> Anoka County <br /> <br /> Community Health & Social Services Department <br /> <br /> COURTHOUSE ~ ANOKA, MINNESOTA $$303 <br /> <br /> · - <br /> WHEREAS, <br /> <br />Licensee ........ .~q~,~.~ (~..~.. g J~Tl~r),t...Q~. ~/iir'~ ~ ~ .~.. ~[ ~.~. ......................... Fe~ [ <br /> <br />:eiDI <br /> <br />:.By <br /> <br />st. No. <br /> <br />Name A~O~ Reqior~ Sard~%ry Larxifill <br /> <br />Establishment Number <br /> <br />Addr es.~. . ~ <br /> <br />14730 Sunfish Lake <br /> <br />Telephone (612) 421-0540 <br />Date ____. 1~./16/_.88.. <br /> <br />County of Anoko os ~equlred by the Ordinances of sold County and has complied with all the requiremtnts of <br />said Ordinances necessary for oblolnlng thll licenser <br /> <br /> NOW, THEREFORE, 1 <br /> t4a~ce F~nar~g~t of ~eso~, ~c. . ................................. hereby make oppl;cot;on lo operafe a <br /> Waste Tire Processing Facili.t~. ' <br /> <br />conditions and provisions of sold Ordinances. <br /> <br />NOTE: <br /> <br />R~vmrte side of this ~pplication MUST <br />be completed. <br /> <br />I'f zhe applicasion is received after the <br />due date below, a penalty f~ must sl~o <br />be tubmitt~ as follo~: 10% of the <br />li~n~e lee if not more than 7 days late; <br />20% of the license fee if more th~n 7 <br />days but not more than 14 days late; end <br />30% if more than 14 days late. <br /> <br />'\ <br /> <br /> <br />