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Owner: <br />KEUMEL LICENS2 APPLICATION <br />Effective January 1, 19- - to Dece-tber 31, 19, <br />IuaI d '"~^C K <br />Property--(include city <br />lUiiiaj Mdress (if different)! <br />Hiooe< I -(cOH I. <br />BO. of dogs to be )cept at one time!^,£----- <br />(over 3 months of age) <br />C;>gAg -c. e.Principal Breed: <br />Purpose for more than 2 dogs t_ — <br />Dogs normally Jeept: X inside <br />7 <br />kennel structure <br />OBHBtCXU Kennel License InforMtion: S150.00 <br />“n^St siast accompany application) <br />Huie of Business: <br />cifY OF emo <br />-r:A'A«E OFFICE <br />V A A A A A______________________ uT^soom <br />______________ 01 OEM 25. OC <br />Business Activities: j i ™ter'nary care, retail! ^iFHEik 71 25.0((example: boarding, breeCing, veterinary RECEIPT-tHm YOU <br />^229530 cool ROl Til: <br />Normal Business Hours:--------------------------------------------------------------11/26/ <br />Hours Contact: (name)iphon6) <br />Dog runs/exercise areas are inside outside <br />-------------------- <br />be undersigned ^^.^e^ciVied Vn this°form; the <br />■d does not grant any Moulationi the undersigend herebyIty premise, prior to <br />„„tVlSrcity P«»/«Vi “ Vth.r’r.r.oSSlV time du'ring thehs:s ;snr». a s-ssis-tA' <br />licmnse approve lo <br />BSnoi^Spt^ri Date tjln <br />eeimMads Approval_<^;^ Denial <br />y <br />9H.