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1 <br /> i <br /> City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, AlN 55113 <br /> (651) 490-2212 <br /> Cigarette/Tobacco Products License Application <br /> Business Name Walgreen Co Walgreens #1804 <br /> Business Address 1739 w Lexington Avenue <br /> Roseville, MN 55113 <br /> Business Phone � .1 nr, 0. <br /> Person to Contact in Regard to Business License: <br /> Name Belinda Dancy <br /> Address 300 Wilmot Rd/PO Box 901 Deerfield, IL 60015 <br /> Phone 847-914-5312 <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 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 #1.76.182. <br /> Signature <br /> Tax M r <br /> Date 5/7/02 <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> For office use only <br />