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City of Roseville AUG 2 <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(b51) 490 -2212 <br />Theater License Application <br />Business Name -- EAVY:LJIS PLC& !t <br />Business Address 2 <br />Rowy <br />Al )V 5si13 <br />Business Phone .� <br />mir, <br />Pet-son to Contact in Regard to Business License, <br />t <br />Name 11-ohadidjell <br />ooq# *" 7�AX Pere & <br />Address a ads <br />Phone S`fv.5 9z5 =95�q� <br />I hereby apply for the following license(s) for the term of one year, beginning July I , _ �� and ending .Tune <br />30, 2OV �F , in the City of Roseville, County of Ramsey, Mate of Minnesota. <br />License Required Fee Ouantitv Total <br />Theater $70.00 - -- - O.02 <br />(per sue) <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescribe, inclu ing Mien ota Statue #176.182. <br />Signature <br />Date Oz h <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Foi- gffice use only: <br />Receipt # <br />