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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(b51) 490 -2212 <br />Theater License Application <br />Business Name � :tJ j � � , �--�- :���� <br />Business Address I �- � I 12J , <br />e--, P-4y�ru <br />Business Phone <br />O�A,j <br />Person to Contact in Regard to Business License: <br />fj `17-wf -h <br />Dame <br />- <) V <br />one <br />I hereby ap ly for the following licenses) for the term of one <br />ear , beginning Jul y 15 <br />and ending June <br />301 � ���- ]l t�� City of Roseville, county of Ramsey, Mate <br />of Minnesota. <br />License a aired Fee u ntx <br />TO <br />Theater $70.00 <br />(per scr=) <br />The undersigned applicant makes this application pmuant to all the laws Of the State of ` <br />the council of the City of Roseville m Minnesota and regulation as <br />may from time to time Ares r' e, including Mm' nesota Statue # 1 76.182. <br />Signature <br />Date <br />If completed license should be mailed somewhere other than the business address <br />please advise. <br />'ora ice use only: <br />Receipt # <br />�1 <br />