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Mo " 14: 32 <br />FAX 651 288 4110 New Brighton Public 5fty <br />Name of Organization <br />Address <br />Name of <br />Date a Jacl <br />APPLICATION FOR LICENSE <br />PURSUANT TO ORDINANCE 114 <br />City of New Brighton <br />803 Old Highway 8, N.W. <br />New Brighton, MN 55112 <br />Applicant <br />(Last) . ' (Hist) �Midale) <br />Date of Birth._ <br />Phone Number <br />IM003/003 <br />b51 -q65 --OI v5 <br />V A <br />ames and /addresses of alll Ash <br />Full Name Address Date of Birth <br />1"ype of Business License Desired _ <br />Where Business is to be Carried on <br />6x -,C,, �i <br />Eim <br />Length of Time Lice e Desired _ � <br />General Description of Item to be Sold/D) ut � A <br />4-1cz C7-5' i r"C s sij a <br />r <br />Fee Check One): ALL PERMITS EXPIRE DECEMBER 31 a �r <br />Transient Merchants: $80.00 per month <br />Solicitors: $80.00 per month <br />Peddlers: $80.00 per month <br />Handbill Distribution: $80.00 per month _ <br />