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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 /> On-Sale 3.2 Malt Liquor License Application <br /> Business Name ST.- PAU1 RAGEt�-Y <br /> 1702 LEXINGTON AVE. N. <br /> Business Address AC)SM111 I c nAA� cea A a <br /> Business Phone 17c, 0 <br /> Person to Contact in Regard to Business License: <br /> Name 11ViCA GIP /7. lerex�oocZ <br /> Address sGliv) f <br /> Phone ��/ ��'.9 / ZGyC� Date of Birth I! <br /> Drivers License Number <br /> Social Security Number <br /> U.S. Citizen? Yes N o 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 ,v�4�.3 , and ending <br /> December 31, ��% � in the City of Roseville, County of Ramsey, State of Minnesota. <br /> License Rea aired ee <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,. including Minnesota.Statue#17 .1820 <br /> Signa <br /> Date <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> For office use only <br />