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<br />...... rO <br /> <br />.~ <br />....I.. <br /> <br />STATE OF MINNESOTA <br />DEPARTME;.oT OF COMMERCE <br />ST. PAUL 55101 <br /> <br />Salon Clerk <br /> <br />:>00 \It-::THO S..'QI\HE IWIU)IM'I <br />ST. 1'.\11.. \1:'\ :>')101 <br /> <br />- 1'11()'\I:..29.~A03 <br /> <br />OFFICE OF TilE COMMISSIO:"iEH <br /> <br />SALON NAME <br /> <br />ADDRESS <br /> <br />SHOP APPI'ICATION ADDENDUM <br />_'0.- <br /> <br />This form must l:e canpleted, signed by the appropriate goverrurent official, and <br />returned to this "office before your application can be approved. <br /> <br />1 . Zoning Approved by <br /> <br />Signature <br /> <br />Position <br /> <br />Date <br /> <br />Phone No. <br /> <br />2. Salon meets the requirements of the Minnesota State Fire Co:le. Yes_ NO_ <br />If a fire official questions this potential salon's state fire cexie canpliance, <br />call the state Fire Marshall Division at 296-7641. <br /> <br /> <br />Salon has one readily accessible fire extinguisher. Yes No <br /> <br />Signature <br /> <br />Position <br /> <br />Date <br /> <br />3. Salon meets the requirements of the Minnesota State Bu.j,.lding Co:1e and Standards. <br /> <br />Yes No <br /> <br />Salon ventilation meets the rcquirenents of the Minnesota State Building Co:1e <br />and Standards. Yes No Window ventilation shall not l::e an acceptable <br />methcx:l of rceeting this standard. <br /> <br />Signature <br /> <br />Position <br /> <br />Date <br /> <br />4. I have the following sterilization equipment: <br />Wet Sterilization (describe) <br /> <br />Owner's Signature <br /> <br />Date <br /> <br />I <br /> <br />New shop owners: Attach sales receipts for sterilization) <br /> <br />NOTE: Booth applicants, exempt fran 1, 2 and 3. <br />AN EQUAL OPPORTUNITY EMPLOYER <br />