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-::.- <br /> - ,.».......... <br /> ................... .........._. .......................... ..........f .....//H.r//.J.`.r..`/f ................ ..+..11a ... -..._...................._.................,...:.....,..�........ .n�.r�.-+r.....F. <br /> rr::..-�r:ail:iei�-................. ............................................................ .. ..... . <br /> City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> (651) 490-2212 <br /> Gas Pumps = Private License Application <br /> ------- ... ...................... ........ ...............wil...... ------------ <br /> F _ <br /> Business Name Q <br /> Business Address <br /> Business Phone i E 611—O� b <br /> Person to C tact in Regard to Business License: <br /> Name .t . <br /> Address � <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 /> Gas Pumps - Private $60.00 <br /> The undersigned applicant makes this application pursuant to all th laws of the t f Minnesota and regulation <br /> as the Council of the City of Roseville may from time t o t- a pres ribe, inc iudin - esota Statue#176.182. <br /> Signature <br /> Date L 0 <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> For office use only: <br />