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Ift <br /> City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> (651) 490-2212 <br /> On-Sale 3.2 Malt Liquor License Application <br /> Business Name The Good Earth of Minnesota II, Inc. <br /> Business Address 1901 West Highway #36, Roseville MN 55113 <br /> Business Phone 651-636-0956 <br /> Person to Contact in Regard to Business License: <br /> Name Peter Mihailov <br /> Address 1901 West Highway 4369 Roseville MN 55113 <br /> Phone 612-822-0016 Date of Both qmm& <br /> Drivers License Number <br /> Social Security Number smanwo <br /> U.S. Citizen? X Yes No Naturalized? Yes No <br /> If yes, date and place: <br /> I hereby apply for the following license(s) for the term of one year, beginning January 1, 2003 and ending <br /> December 31,--2003_ in the City of Roseville, County of Ramsey, State of Minnesota. <br /> License Rea uired Fee <br /> On-Sale 3.2 Malt Liquor Beverage $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 ,includ` eu �ue #176.182. <br /> Signature <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> For office use only: <br />