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City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> (651) 490-2212 <br /> Off-Sale 3.2 Malt Liquor License Application <br /> .............. <br /> Business Name <br /> Business Address c� <br /> Business Phone <br /> Person to Contact in Regard to Business License:," <br /> Name � <br /> Address <br /> Phone �(;Sl S��� �i � Date of Butt <br /> Drivers License Number <br /> Social Security Number <br /> U.S. Citizen? N Y e s o Naturalized? Yes No <br /> If yes, date and place: <br /> I hereby apply for the following license(s)for the term of one year,beginning July 1,2002,and ending December <br /> 3 1,2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br /> License Required Fee <br /> Off-Sale 3.2 Malt Liquor Beverage $30.00 <br /> The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation <br /> as the Council of the City of Roseville may from time to time prescribe, including Minnesota. Statue#176.182. <br /> Signature <br /> Date <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> For office use only: <br />