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<br />. <br /> <br />Date r I ~ ~ ~ - () &, <br />APPLICATION FOR LICENSE <br />PURSUANT TO ORDINANCE 114 <br /> <br />City of New Brighton <br />803 Old Highway 8, N.W. <br />NewBrighton, MN 55112 <br /> <br />Name of Organization Y'f\... ~""",T C 0 ~ ~ \-\ f\.."'t-r (l~ .Vs;;.--;- . <br /> <br />Address 1 0 ,%1(9 S- .l) 7 ,- \, (-? J-.~ <-t. ,,/. \"".p, y... tG f]~\1 ,." ~~ <br />):---, f) D. \. .}", .J <br />Name of Applicant' <.....~w--..s ~ ,.I ". " '1'2...," \,). '\ ",,-, L", ,~',,") <br />(Last) / (First) (Middle) <br /> <br />Date of Birth (0 -) 7 - J...J:J-.. Phone Number . &s ) - I {S - S- (~ .. <br /> <br />Residence(s) of Applicant for the Last Five Years <br />5 J ~/ VJ t.$'- .g 'L ~ '\~c;) ,if 'P-( <br />'\~- 't.r , <br /> <br />Dates <br />D \<:. -q \..\1 ~(/ S' <br /> <br />JA Ll-y <br /> <br />Names and Addresses of all Associates <br />. Full Name <br /> <br />Length of Time License Desired <br /> <br />General Description of Item tobe Sold/Distributed <br /> <br />~ S \ ~ "~ff <br />/ <br />Fee (Check One): ALL PERMITS EXPIRE DECEMBER 31 <br />Transient Merchants: $75.00 per month <br />Solicitors: $75.00 per month <br />Peddlers: $75.00 per month <br />Handbill Distribution: $75.00 per month <br /> <br />-.--Al5P"tovedbY Council .. Date- <br />4/2004 <br />J :\FORMS\PeddlerLicenseApp.doc <br /> <br />Address <br /> <br />Date of Birth <br /> <br />~ <br /> <br />Type of Business License Desired <br />Where Business is to be Carried on <br /> <br />i< ~ \!~ \ ''\:cy + S \.D (....\.1 (I <br />'IV'-- e or",\.. t ;.. \L ~ ~ J <br /> <br />. <br /> <br />J - )" A... C' \"-1.... ,- "-- l.- <br />I' <br />{( ~ ~ ~ ,,-vu; <br /> <br />'"'7-' (.~ <br /> <br />.' <br />