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City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> (651) 490-22 12 <br /> Gasoline Station License Application <br /> Business Name 10-AYM GS11 OIJ IVIP <br /> Business Address EL <br /> Business Phone <br /> Person to Contact in Regard to Business License: <br /> Name in � l <br /> Address r i L <br /> Phone -FC 'r� r���-1 g LO "6 5(At;i (.1)� <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 includi ' Minne Statue#176.182. <br /> Signature <br /> Date <br /> e <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> For office use only: <br />