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r <br /> City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, NIN 55113 <br /> (651) 490-22 12 <br /> Gasoline Station License Application <br /> ...... .... <br /> Business Name <br /> Business Address <br /> Business Phone VD'l- - l' <br /> Person to Contact in Regard to Business License: <br /> Name Sr4t 5 <br /> 1-' -3 <br /> Address 1� "Ji 'V eV/. �i�� �C S-1f l_ <br /> Phone Mn <br /> .�jl' ���-�ll(�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 /> Gasoline Station $130.00 <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: "�o Lap <br /> V V, <br />