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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 /> ....... ..... ........... <br /> CILBusiness Name <br /> Business Address <br /> Business Phone <br /> Person to Co ct in Regard to Business License. <br /> Name (A rl t S � . <br /> V llt,�7�'" <br /> Address ca2o(U 1 (7K t�CL Inn <br /> Phone b�� ° �V <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 Reauired Fee <br /> Cigarette/Tobacco Products $100.00 <br /> The undersigned applicant makes this application pursuant to all thh laws of the St e of innesota and regulation <br /> as the Council of the City of Roseville may from time to time pres tbe, Including in a Statue #176.1$2. <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 /> "7 <br />