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l % <br /> City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> (651) 490-2212 <br /> C i g a t ette/T obacco Pr oducts Li ce n se Application <br /> R i <br /> Business Name OA 6 00 <br /> ........... <br /> Business Addressr <br /> 6qBusiness Phone <br /> Person to Contact in Regard to Business License: <br /> r <br /> Name /ION <br /> :1 20k361 <br /> qfAddress <br /> Lqj <br /> f or, <br /> Phone <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 F, ee <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 # 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: 47) <br /> 160 <br />