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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 /> Cigarette/Tobacco Products License Application <br /> Business Name � ��✓�`-� <br /> Business Address <br /> Business Phone ���— l�! �3 3— i <br /> Person to Contact in Regard to Business License: <br /> Name I <br /> Address <br /> Phone c�- <br /> r <br /> I hereby apply for the following license(s) for the term of one year, beginning July 1, 2002, and ending June 30, <br /> 2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br /> License Required Fee <br /> Cigarette/Tobacco Products $100.00 <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 #I 76.182. <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 /> i <br />