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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 /> 3 <br /> Gasoline Station License Application <br /> ........OWN <br /> Business Name ���.1��"� tT� g co,,`�, C " <br /> Business Address 2.00 , CW( M QM S� <br /> Lh'\ <br /> aj 128 <br /> Business Phone b� � " ���`10 14 I V <br /> Person to Contact in Regard to Business License: <br /> Name �er <br /> W Q�S^�Y <br /> Address �?d ( �-��a-Wl �� � - �0►.0 Y � 011 Vl <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 Fee <br /> Gasoline Station $130.00 <br /> The undersigned applicant makes this application pursuant to all th aws of the S too Minnesota and regulation <br /> as the Council of the City of Roseville may from time to tim re 'be, including sofa 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 />