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<br />16) <br /> <br />Please fill out COMPLETELY the attached forms that are required for the <br />Minnesota Department of Revenue and Department of Labor and Industry. Some <br />of this information may be repetitive. but it is required by Minnesota <br />Statute Sections 270.72 and 176.182. Applications will not be accepted <br />until these forms are filled out completely. <br /> <br />17) Tbe license will take effect on January 1. 1988 and will expire on December <br />31. 1988. Tbe license fee of $25.00 must be paid at the time of application. <br /> <br />Tbe undersigned applicant makes this application pursuant to all the laws <br />of the City of Ramsey, Anoka County, State of Minnesota and such rules and <br />regulations as the City Council of the City of Ramsey may from time to time <br />prescribe. <br /> <br />Applicant'. Signatnre: qL 7 L4 U-A~~-:! <br /> <br />Date: 7~ ~,/yrp <br /> <br />**The applicant is required to submit, at the time of application, a site <br />plan of the premises showing location of amusement devices, sanitary <br />facilities, and parking provisions for vehicles and bicycles. <br /> <br />Received on 'IJ-5'-Rf3 <br />Receipt If lq ~ 4<../ <br /> <br />Approved on <br /> <br />18 <br />