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' - Anoka Coun <br />Community Health & Environmental Services Department <br />Government Center - Room 360 <br />CLT�; 2100 -3rd Avenue Anok a, MN 55303 -2264 <br />Page 02 of <br />Business Name: L rl r7k / 1 '1' f �.� ) 4 ' <br />Est. No.: Type: <br />Business Address: MCPL: <br />Licensee: Time: Date: IC - CO <br />Subject: Continution of Inspection Form)5, n <br />Reference <br />[ G rt C.2 Lc, <br />' <br />i k16 1-7 - • -1r -i= <br />1 <br />l eceived <br />by:. <br />ak V2V99 M:lES1F <br />Health Authority <br />